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: January 1, 2018 08:20 AM Monday; Rod Welch

Exercise, diet, vitals and medication case study Jan 1, 2018.

1...Summary/Objective
2...Hiking Summary Past 7 Years Month to Month
........Lipid History


..............
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CONTACTS 

SUBJECTS
Exercise Hiking Vitals Blood Pressure Pulse Heart Rate Medication Me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0803 -    ..
0804 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080501 - Follow up ref SDS 37 0000. ref SDS 22 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080505 -            [On 190101 0730 follow up exercise, diet, vitals, etc.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080506 -            including the record for 181231. ref SDS C7 GG4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080511 -  ..
0806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0808 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080901 - This record correlates medications, exercise, and vitals, and is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080902 - mapped to labs for understanding effects of changes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080904 -  ..
080905 - The first record was begun on 101010 0744, ref SDS 7 QJ5I, and covers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080906 - the period 101010 - 111231.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080908 -  ..
080909 - The next record began 120101, and continues through 131221.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080910 - ref SDS 11 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080912 -  ..
080913 - The next record began 140101, and continues through 151231.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080914 - ref SDS 21 6F6G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080916 -  ..
080917 - Prior record began 160101, and continues through 171231. ref SDS 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080918 - 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080920 -  ..
080921 - Record for 180101. ref SDS 0 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080924 -  ..
080925 - Blood pressure spreadsheet at...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080927 -              F:\05\00003\SM\CC\CCMF\BPSTUDY.XLSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080929 -  ..
080930 - Mileage spreadsheet correlating HDL cholesterol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080932 -              F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080934 -  ..
080935 - Medication study correlating contraction LESV on 170331 1400.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080936 - ref SDS 55 PE7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080938 -              F:\05\00003\SM\CC\CHMG\FNGC\CJGK\achalasia_meds_lesv.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080943 -         ..
080944 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080945 -                    M E D I C A T I O N   Miles       Time                         <------------ V I T A L S ---------->
080946 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BPR  Pulse   BPR   Pulse  Differentials                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080947 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080948 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080949 -    1.  180101 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080950 -               0830....BP HR with Diff........................................... 146  79  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080951 -               0835....BP HR with Diff........................................... 131  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080952 -               0840....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080953 -               0840... 20 11900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080954 -               0840... 80 53900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080955 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080956 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080957 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080958 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
080959 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080960 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080961 -         ** cr 1120....miles...........   9.0   9.00  141  141 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080962 -               1455....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080963 -               1500....BP HR with Diff........................................... 116  77 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080964 -               1445....BP HR with Diff........................................... 113  80  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080965 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080966 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080967 -               1725... 40 28000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080968 -             1 0000............ 10 9490  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080969 -             1 0000............ 10 9080  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080970 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080971 -               2210... 20  9980 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080972 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080973 -               2240... 80 53980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080976 - ** cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080978 -  ..
080979 - Pain medication - none, to prevent liver damage lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080981 -  ..
080982 - Right leg hamstring felt slight pull after 1 mile on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080983 - possibly becase pushing pace.  Slowed slightly, for a mile or so,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080984 - then resumed fast pace without hamstring causing further notice.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080986 -  ..
080987 - Wore 1 pair socks to reduce pressure on blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
080989 -  ..
080990 - Shoes - switched to Hoka Bondi 5 Wide 2E size 9.5, the new pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080991 - received on 171222 1642. ref SDS 73 GQ4M  Hiked with these shoes on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080992 - 171223, and defective cushioning caused severe pain, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080993 - ref SDS 37 US7M  Today, placed Lynflex heel cushions, received from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080994 - Mark at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080995 - Satallite Elite orthotic inserts, since these were effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080996 - yesterday, providing rebound energy worn with Brooks Ghost shoes. per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080997 - above. ref SDS 37 TYSY  Omitted Lynflex forefoot cushioning, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
080998 - they caused pain in plantar plate injury on right foot, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080999 - ref SDS 37 TYXU  This configuration worked well today, providing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081000 - protection for plantar plate injury, and rebound energy for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081001 - Crystal Ranch Road 1st time in 3 or so weeks on 171125, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081002 - ref SDS 37 YX4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081004 -  ..
081005 - Hallux Valgus and blisters both feet applied felt spreader between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081006 - toe, long toe and middle toe, recommended by Doctor Thuillier on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081007 - 171227 0915. ref SDS 74 3B3H  Omitted gel and white tape dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081008 - big toes and on left foot ring toe and little toe.  Seemed effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081009 - on hike.  Did not feel abrasion causing blisters on toes nor on bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081010 - of foot below big toe during entire hike.  Big relief not having to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081011 - apply and remove dressings everyday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081013 -  ..
081014 - Right foot plantar plate - wore new Stable Elite 40 orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081015 - received on 171202 1000, ref SDS 70 UM4K, and modified on 171211, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081016 - small cutout to protect plantar plate injury, per above. ref SDS 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081017 - TN8O  This worked well today, because omitted supplemental forefoot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081018 - Lynfelt cushion pads added yesterday, for Brooks Ghost shoes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081019 - which prevented plantar plate relief from being effective, explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081020 - above. ref SDS 37 TYSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081022 -  ..
081023 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081024 - do extra 1 mile at the end.  Starting with new Hoka Bondi 5 Wide 2E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081025 - shoes, but with supplemental cushioning in heel, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081026 - ref SDS 37 UPVP  Heel had much better rebound energy than when tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081027 - last week on 171223, per above. ref SDS 37 US7M  Calfs and feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081028 - level 0, fast pace time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081029 - Clayton hiking on concrete sidewalk.  No breakdowns, no increase pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081030 - level as occurred past month.  Turned corner onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081031 - at mile 3.2 continued on concrete sidewalk.  Increased pace - time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081032 - 4.25 miles 64 minutes.  Continued fast pace Ygnacio Valley Road.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081033 - okay, so turned corner onto Crystal Ranch Road to hike additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081034 - 4-mile loop.  Hiked uphill well with fast pace.  After reaching top,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081035 - called Kathy.  She will leave in 30 minutes, and meet me at Mudville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081036 - Grille in clayton for lunch.  Went downhill okay, then hiked steeper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081037 - uphill Rolling Woods Way with fast pace.  Handled downhill well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081038 - Turned onto Pine Hollow - hiked 2 miles to Mitchell Canyon Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081039 - turned and hiked .5 miles to Clayton road.  Turned right and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081040 - 1.5 miles to Mudville Grill.  Kathy showed up, and drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081041 - Felt good to be hiking fast pace again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081043 -  ..
081044 - Breakfast - pancakes eggs bacon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081045 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081046 - Dinner - meatloaf lettuce squash onion tomato avocado celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081048 -  ..
081049 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081053 -         ..
081054 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081055 -    2.  180102 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081056 -               0955....BP HR with Diff........................................... 146  83  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081057 -               1005....BP HR with Diff........................................... 137  82  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081058 -               1010....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081059 -               1010... 20 11920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081060 -               1010... 80 54060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081061 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081062 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081063 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081064 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081065 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081066 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081067 -         ** cr 1220....miles...........  11.0  20.00  171  312 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081068 -               1545....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081069 -               1550....BP HR with Diff........................................... 106  79 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081070 -               1600....BP HR with Diff........................................... 118  76  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081071 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081072 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081073 -               1725... 40 28040 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081074 -               2110............ 10 9500  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081075 -               2110............ 10 9090  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081076 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081077 -               2200... 20 10000 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081078 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081079 -               2300... 80 54140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081082 - ** cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081084 -  ..
081085 - Pain medication - none, to prevent liver damage lowering HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081086 - research.  Naproxen does not lower HDL, but have been unable to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081087 - liquid form, and pills risk ulcerating LESV, reported by Doctor Lee on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081088 - 161115 0800. ref SDS 49 9K9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081090 -  ..
081091 - Right leg hamstring felt slight pull after 1 mile on Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081092 - possibly becase pushing pace.  Slowed slightly, for a mile or so,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081093 - then resumed fast pace without hamstring causing further notice.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081095 -  ..
081096 - Wore 1 pair socks to reduce pressure on blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081098 -  ..
081099 - Shoes - switched to Hoka Bondi 5 Wide 2E size 9.5, the new pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081100 - received on 171222 1642. ref SDS 73 GQ4M  Hiked with these shoes on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081101 - 171223, and defective cushioning caused severe pain, reported above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081102 - ref SDS 37 US7M  Today, placed Lynflex heel cushions, received from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081103 - Mark at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081104 - Satallite Elite orthotic inserts, since these were effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081105 - yesterday, providing rebound energy worn with Brooks Ghost shoes. per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081106 - above. ref SDS 37 TYSY  Omitted Lynflex forefoot cushioning, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081107 - they caused pain in plantar plate injury on right foot, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081108 - ref SDS 37 TYXU  This configuration worked well today, providing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081109 - protection for plantar plate injury, and rebound energy for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081110 - Crystal Ranch Road 2 days in a row, after unable for 5 weeks, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081111 - on 171125, per above. ref SDS 37 YX4K  There was periodic pain right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081112 - foot plantar plate injury, so tomorrow will try increasing cutout                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081113 - slightly to reduce pressure on plantar plate over long hikes and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081114 - steep hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081116 -            [On 180103 0942 used electric drill to slightly increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081117 -            hole on bottom of Satallite Elite 40 orthotic inserts, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081118 -            for the purpose of increasing relief on plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081119 -            injury. ref SDS 77 KM3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081121 -  ..
081122 - Hallux Valgus and blisters both feet applied felt spreader between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081123 - toe, long toe and middle toe, recommended by Doctor Thuillier on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081124 - 171227 0915. ref SDS 74 3B3H  Omitted gel and white tape dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081125 - big toes and on left foot ring toe and little toe.  Seemed effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081126 - on hike.  Did not feel abrasion causing blisters on toes nor on bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081127 - of foot below big toe during entire hike.  Big relief not having to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081128 - apply and remove dressings everyday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081130 -  ..
081131 - Right foot plantar plate - wore new Stable Elite 40 orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081132 - received on 171202 1000, ref SDS 70 UM4K, and modified on 171211, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081133 - small cutout to protect plantar plate injury, per above. ref SDS 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081134 - TN8O  This worked pretty well today, but had periodic pain level 1 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081135 - right foot plantar plate.  Will try increasing cutout slightly to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081136 - reduce pressure on plantar plate over long hikes and on steep hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081138 -            [On 180103 0942 used electric drill to slightly increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081139 -            hole on bottom of Satallite Elite 40 orthotic inserts, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081140 -            for the purpose of increasing relief on plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081141 -            injury. ref SDS 77 KM3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081143 -  ..
081144 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081145 - do extra 1 mile at the end.  Starting with new Hoka Bondi 5 Wide 2E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081146 - shoes, received on 171222 1642, ref SDS 73 GQ4M, but with supplemental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081147 - cushioning in heel added on 180101, per above. ref SDS 37 UPVP  Calfs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081148 - and feet pain level 0, so fast pace time to 1.25 miles 18 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081149 - Maintained pace on Clayton hiking on concrete sidewalk.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081150 - breakdowns.  Some increase pain to level 1 or 2, but no higher, and it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081151 - ended by focusing on not rolling over forefeet with each step.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081152 - slowed pace a little, but only for .25 miles or so, as pain ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081153 - allowing normal steps, which increased pace.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081154 - Ygnacio Valley Road at mile 3.2 continued on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081155 - Increased pace - time to 4.25 miles 67 minutes.  Continued good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081156 - Ygnacio Valley Road.  Felt okay, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081157 - Road to hike additional 4-mile loop.  Hiked uphill well with fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081158 - pace.  Fortunate no plantar plate pain.  Went downhill okay, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081159 - hiked steeper uphill Rolling Woods Way with fast pace.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081160 - downhill well, but slow because pain level 2 in right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081161 - onto Pine Hollow - hiked 1 mile to Ygnacio Valley Road, turned and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081162 - hiked 1 mile back to Crystal Ranch Road.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081163 - Valley Road uphill with good pace.  Still feeling right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081164 - plate pain level 1 - 3, so turned corner on Cowell for 7 mile hike in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081165 - order to avoid having to call a cab if feet get worse trying for 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081166 - miles.  Hiked 1 mile to Treat, then .25 miles to Cuneo, and on home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081167 - Felt good hiking fast pace again.  Will try increasing cutout for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081168 - plantar plate on right foot orthotic insert.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081170 -            [On 180103 0942 used electric drill to slightly increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081171 -            hole on bottom of Satallite Elite 40 orthotic inserts, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081172 -            for the purpose of increasing relief on plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081173 -            injury. ref SDS 77 KM3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081175 -  ..
081176 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081177 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081178 - Dinner - lettuce onion tomato sausage cut up avocado celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081179 - cumcumber, pancake chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081181 -  ..
081182 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081185 -         ..
081186 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081187 -    3.  180103 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081188 -               0805....BP HR with Diff........................................... 122  77  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081189 -               0810....BP HR with Diff........................................... 128  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081190 -               0820....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081191 -               0820... 20 11940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081192 -               0820... 80 54220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081193 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081194 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081195 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081196 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081197 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081198 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081199 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081200 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081201 -               1900... 40 28080 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081202 -             1 0000............ 10 9500  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081203 -             1 0000............ 10 9090  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081204 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081205 -               2240... 20 10020 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081206 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081207 -               2350... 80 54300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081209 -  ..
081210 - Hiking - none today, working.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081212 -  ..
081213 - Received 6-pair Hoka Bondi 5 Wide 2E shoes replacing defective shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081214 - returned to Hoka, reported in another record on 180103 1428.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081215 - ref SDS 78 555H  Did not go hiking, so no assessment on solving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081216 - defective cushioning, reported on 171211 0918. ref SDS 71 QA4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081218 -  ..
081219 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081220 - Lunch - sandwich bologna cheese onion, fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081221 - Dinner - meatloaf lettuce squash onion tomato avocado celery toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081222 - cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081224 -  ..
081225 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081229 -         ..
081230 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081231 -    4.  180104 0840..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081232 -               0910....BP HR with Diff........................................... 141  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081233 -               0945....BP HR with Diff........................................... 126  71  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081234 -               0920....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081235 -               0920... 20 11960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081236 -               0920... 80 54380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081237 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081238 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081239 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081240 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081241 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081242 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081243 -         ** cr 1300....miles...........  11.0  31.00  174  486 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081244 -               1620....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081245 -               1630....BP HR with Diff........................................... 114  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081246 -               1600....BP HR with Diff........................................... 119  68  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081247 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081248 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081249 -               1730... 40 28120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081250 -               2100............ 10 9510  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081251 -               2100............ 10 9100  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081252 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081253 -               2210... 20 10040 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081254 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081255 -               2250... 80 54460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081257 -  ..
081258 - ** cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081260 -  ..
081261 - Pain medication - none, to prevent liver damage lowering HDL, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081262 - research.  Naproxen does not lower HDL, but pills risk ulcerating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081263 - LESV, reported by Doctor Lee on 161115 0800. ref SDS 49 9K9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081264 - Yesterday, Lauren in Primary Care at VA planned to try ordering liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081265 - naproxen, reported on 180103 1647. ref SDS 79 UK6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081267 -  ..
081268 - Right leg hamstring did not feel anything today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081270 -  ..
081271 - Wore 1 pair socks to reduce pressure on blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081273 -  ..
081274 - Shoes - switched to Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 1st of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081275 - 6 pair received yesterday on 180103 1428. ref SDS 78 WU6J  They seem a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081276 - little better than shoes received on 171113 1610. ref SDS 68 SM4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081277 - Today, placed Lynflex heel cushions, received from Mark at On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081278 - on 171229 1010, ref SDS 76 ZE7K, under both Satallite Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081279 - inserts, since these were effective yesterday, providing rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081280 - energy worn with new shoes worn on 180102, per above. ref SDS 37 G46M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081281 - This configuration worked well today, providing protection for plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081282 - plate injury, and rebound energy for hiking Crystal Ranch Road 3 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081283 - in a row, after unable for 5 weeks, reported on 171125, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081284 - ref SDS 37 YX4K  There was periodic pain right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081285 - injury, despite increasing cutout slightly to reduce pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081286 - plantar plate over long hikes and on steep hills, and which was done                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081287 - on 180103 0942. ref SDS 77 KM41  Good news - pain was level 1 - 2 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081288 - lasted less than .25 miles, and after 5 miles didn't notice it the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081289 - rest of the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081291 -  ..
081292 - Hallux Valgus and blisters both feet applied felt spreader between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081293 - toe, long toe and middle toe, recommended by Doctor Thuillier on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081294 - 171227 0915. ref SDS 74 3B3H  Omitted gel and white tape dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081295 - big toes and on left foot ring toe and little toe.  Seemed effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081296 - on hike.  Did not feel abrasion causing blisters on toes nor on bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081297 - of foot below big toe during entire hike.  Big relief not having to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081298 - apply and remove dressings everyday.  Tomorrow will add felt spreaders                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081299 - to left foot little and ring toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081301 -  ..
081302 - Right foot plantar plate - wore new Stable Elite 40 orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081303 - received on 171202 1000, ref SDS 70 UM4K, and modified on 171211, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081304 - small cutout to protect plantar plate injury, per above. ref SDS 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081305 - TN8O  Two (2) days ago, increased the size of this hole slightly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081306 - reported on 180103 0942. ref SDS 77 KM3M  This worked pretty well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081307 - today, but had periodic pain level 1 - 2, explained under Shoes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081308 - above. ref SDS 37 USTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081310 -  ..
081311 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081312 - do extra 1 mile at the end.  Starting with new Hoka Bondi 5 Wide 2E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081313 - shoes, received yesterday on 180103 1428, ref SDS 78 WU6J and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081314 - supplemental cushioning in heel added on 180101, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081315 - ref SDS 37 UPVP  Calfs and feet pain level 0, so fast pace time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081316 - 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081317 - sidewalk.  Periodic pain level 1 - 2 right foot plantar plate injury,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081318 - but did not require changing step, as done 2 days ago on 180102, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081319 - above. ref SDS 37 URQX  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081320 - 3.2 continued on concrete sidewalk.  Maintained pace - time to 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081321 - miles 68 minutes.  Continued good pace Ygnacio Valley Road.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081322 - okay, so turned corner onto Crystal Ranch Road and hiked addditional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081323 - 4-mile loop.  Hiked uphill well with fast pace.  Fortunate no plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081324 - plate pain.  Went downhill slow, feeling right knee.  Then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081325 - steeper uphill Rolling Woods Way with fast pace.  Handled downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081326 - well, but slow because pain level 2 in right knee.  Turned onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081327 - Hollow - faster pace hiking 1 mile to Ygnacio Valley Road, turned and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081328 - hiked 1 mile back to Crystal Ranch Road.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081329 - Valley Road uphill with good pace.  Seemed like feet slipping shoe or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081330 - someting causing blisters on bottom of feet, so turned corner on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081331 - Cowell for 7 mile hike in order to avoid having to call a cab if feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081332 - get worse trying for 15 miles.  Hiked 1 mile to Treat, then .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081333 - to Cuneo, and on home.  Felt good hiking fast pace again.  Impression                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081334 - that increasing cutout for plantar plate on right foot orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081335 - insert was effective.  Will test further tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081337 -  ..
081338 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081339 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081340 - Dinner - brocolli tuna onion tomato avocado celery, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081342 -  ..
081343 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081347 -         ..
081348 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081349 -    5.  180105 0920..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081350 -               1000....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081351 -               1000... 20 11980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081352 -               1000... 80 54540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081353 -               1000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081354 -               1100....BP HR with Diff........................................... 122  64  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081355 -               1110....BP HR with Diff........................................... 120  70  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081356 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081357 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081358 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081359 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081360 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081361 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081362 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081363 -               1700... 40 28160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081364 -             1 0000............ 10 9510  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081365 -             1 0000............ 10 9100  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081366 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081367 -               2210... 20 10060 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081368 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081369 -               2240... 80 54620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081371 -  ..
081372 - Pain medication - hydrocodone planning 15 mile hike, but got call from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081373 - Doctor Tucker's office, and scheduled treatment today, then drove to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081374 - Novato and had PRP injections in both feet and both knees, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081375 - another record on 180105 1630, ref SDS 80 0001  Pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081376 - helped, because 4 (2 of 6 in each foot) of 12 total injections hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081377 - today - pain level 10.  This only lasted a few seconds each.  When                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081378 - treatment ended, hydrocodone handled pain well for another 4 hours,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081379 - and by then acute pain had mostly subsided.  Going downstairs was most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081380 - difficult placing dynamic weight on feet and knees.  This was just a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081381 - lucky coincidence taking hydrocodone this morning to go hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081382 - instead it aided PRP procedure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081384 -  ..
081385 - Hiking - none - had another orthopedic treatment with PRP injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081386 - in feet and knees, performed by Doctor Gloria Tucker, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081387 - another record today on 180105 1630, ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081389 -  ..
081390 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081391 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081392 - Dinner - brocolli meatloaf onion tomato avocado celery, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081394 -  ..
081395 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081399 -         ..
081400 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081401 -    6.  180106 0930..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081402 -               0940....BP HR with Diff........................................... 127  74  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081403 -               0945....BP HR with Diff........................................... 124  72  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081404 -               1000....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081405 -               1000... 20 12000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081406 -               1000... 80 54700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081407 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081408 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081409 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081410 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081411 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081412 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081413 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081414 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081415 -               1730... 40 28200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081416 -               2100............ 10 9520  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081417 -               2100............ 10 9110  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081418 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081419 -               2200... 20 10080 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081420 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081421 -               2220... 80 54780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081423 -  ..
081424 - Blood pressure continuing improvement noticable past 2 days, reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081425 - increased hiking and lower dose mylanta and calcium carbonate (Tums).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081427 -  ..
081428 - Pain medication - none, to prevent liver damage lowering HDL.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081429 - moderate - minimal, i.e., tolerable pain level 1 - 3 when walking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081430 - including going up and down stairs, and 1 day after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081431 - treatment yesterday on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081433 -  ..
081434 - Hiking - none, had another orthopedic treatment with PRP injections in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081435 - feet and knees performed by Doctor Gloria Tucker, reported on 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081436 - 1630, ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081438 -  ..
081439 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081440 - Lunch - sandwich bologna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081441 - Dinner - brocolli meatloaf onion tomato avocado celery, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081443 -  ..
081444 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081448 -         ..
081449 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081450 -    7.  180107 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081451 -               0920....BP HR with Diff........................................... 132  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081452 -               1010....BP HR with Diff........................................... 144  84  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081453 -               1015....BP HR with Diff........................................... 141  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081454 -               1020....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081455 -               1020... 20 12020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081456 -               1020... 80 54860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081457 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081458 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081459 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081460 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081461 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081462 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081463 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081464 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081465 -               1800... 40 28240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081466 -             1 0000............ 10 9520  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081467 -             1 0000............ 10 9110  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081468 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081469 -               2150... 20 10100 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081470 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081471 -               2240... 80 54940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081473 -  ..
081474 - Blood pressure continuing improvement noticable past 2 days, reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081475 - increased hiking and lower dose mylanta and calcium carbonate (Tums).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081477 -  ..
081478 - Pain medication - none, to prevent liver damage lowering HDL.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081479 - moderate - minimal, i.e., tolerable pain level 1 - 3 when walking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081480 - including going up and down stairs, and 1 day after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081481 - treatment yesterday on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081483 -  ..
081484 - Hiking - none, had another orthopedic treatment with PRP injections in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081485 - feet and kees, performed by Doctor Gloria Tucker, reported on 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081486 - 1630, ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081488 -  ..
081489 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081490 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081491 - Dinner - lettuce salmon onion celery avocado tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081493 -  ..
081494 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081498 -         ..
081499 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081500 -    8.  180108 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081501 -               0750....BP HR with Diff........................................... 146  79  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081502 -               0755....BP HR with Diff........................................... 142  83  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081503 -               0800....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081504 -               0800... 20 12040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081505 -               0800... 80 55020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081506 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081507 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081508 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081509 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081510 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081511 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081512 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081513 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081514 -               1540... 40 28280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081515 -               1910............ 10 9530  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081516 -               1910............ 10 9120  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081517 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081518 -               2000... 20 10120 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081519 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081520 -               2020... 80 55100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081522 -  ..
081523 - EGD dilation with Doctor Lee at VAMC in Sacramento, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081524 - another record on 180109 0800. ref SDS 81 VV6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081526 -  ..
081527 - Pain medication - none, to prevent liver damage lowering HDL.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081528 - moderate - minimal, i.e., tolerable pain level 1 - 3 when walking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081529 - including going up and down stairs, and 1 day after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081530 - treatment yesterday on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081532 -  ..
081533 - Hiking - none, had another orthopedic treatment with PRP injections in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081534 - feet and kees, performed by Doctor Gloria Tucker, reported on 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081535 - 1630, ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081537 -  ..
081538 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081539 - Lunch - triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081540 - Dinner - spaghetti lettuce onion tomato aspargus avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081541 - milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081543 -  ..
081544 - Vomiting: 0% since 171128                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081547 -         ..
081548 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081549 -    9.  180109 0430..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081550 -               0515....BP HR with Diff........................................... 125  72  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081551 -               0520....BP HR with Diff........................................... 139  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081552 -               0525....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081553 -               0000... 20 12040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081554 -               1200... 80 55180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081555 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081556 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081557 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081558 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081559 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081560 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081561 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081562 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081563 -               1810... 40 28320 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081564 -             1 0000............ 10 9530  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081565 -             1 0000............ 10 9120  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081566 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081567 -               2210... 20 10140 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081568 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081569 -               2220... 80 55260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081571 -  ..
081572 - Pain medication - none, to prevent liver damage lowering HDL.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081573 - moderate - minimal, i.e., tolerable pain level 1 - 3 when walking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081574 - including going up and down stairs, and 1 day after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081575 - treatment yesterday on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081577 -  ..
081578 - Hiking - none, had another orthopedic treatment with PRP injections in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081579 - feet and kees, performed by Doctor Gloria Tucker, reported on 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081580 - 1630, ref SDS 80 0001  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081581 - hiking for 7 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081583 -  ..
081584 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081585 - Lunch - Arby's roast beef with hash browns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081586 - Dinner - lettuce onion tomato meatloaf avocado mushrooms cumcumber,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081587 - Goodbar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081589 -  ..
081590 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081594 -         ..
081595 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081596 -   10.  180110 0540..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081597 -               0700....BP HR with Diff........................................... 132  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081598 -               0705....BP HR with Diff........................................... 130  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081599 -               0715....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081600 -               0715... 20 12060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081601 -               0715... 80 55340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081602 -               0000... 5    80 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081603 -               0000... Naproxen (Aleve) 400  60000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081604 -               0000....1000  36800 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081605 -               0000....200    3400 Ibuprofine - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081606 -               0000....200 200 Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081607 -               0000....Diclofenac NA 1% (Voltaren) Gel 12 -  24  1 neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081608 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081609 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081610 -               1810... 40 28360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081611 -               2110............ 10 9540  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081612 -               2110............ 10 9130  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081613 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081614 -               2200... 20 10160 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081615 -               0000... 5    80 Hydrocodone and Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081616 -               2240... 80 55420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081618 -  ..
081619 - Pain medication - none, to prevent liver damage lowering HDL.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081620 - moderate - minimal, i.e., tolerable pain level 1 - 3 when walking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081621 - including going up and down stairs, and 1 day after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081622 - treatment yesterday on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081624 -  ..
081625 - Hiking - none, had another orthopedic treatment with PRP injections in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081626 - feet and kees, performed by Doctor Gloria Tucker, reported on 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081627 - 1630, ref SDS 80 0001  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081628 - hiking for 7 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081630 -  ..
081631 - Breakfast - eggs sausage toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081632 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081633 - Dinner - spaghetti lettuce onion tomato aspargus avocado, Goodbar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081635 -  ..
081636 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081640 -         ..
081641 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081642 -   11.  180111 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081643 -               0820....BP HR with Diff........................................... 141  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081644 -               0825....BP HR with Diff........................................... 137  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081645 -               0830....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081646 -               0830... 20 12080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081647 -               0830... 80 55520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081648 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081649 -               1820... 40 28400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081650 -             1 0000............ 10 9540  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081651 -             1 0000............ 10 9130  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081652 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081653 -               2140... 20 10180 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081654 -               2200... 80 55600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081656 -  ..
081657 - Pain medication - none, to prevent liver damage lowering HDL.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081658 - moderate - minimal, i.e., tolerable pain level 1 - 3 when walking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081659 - including going up and down stairs, and 1 day after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081660 - treatment yesterday on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081662 -  ..
081663 - Hiking - none, had another orthopedic treatment with PRP injections in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081664 - feet and kees, performed by Doctor Gloria Tucker, reported on 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081665 - 1630, ref SDS 80 0001  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081666 - hiking for 7 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081668 -  ..
081669 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081670 - Lunch - sandwich ham cheese tomato onion triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081671 - Dinner - lettuce onion salmon tomato celery aspargus avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081672 - mushrooms, Goodbar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081674 -  ..
081675 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081678 -         ..
081679 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081680 -   12.  180112 0850..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081681 -               0920....BP HR with Diff........................................... 123  80  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081682 -               0925....BP HR with Diff........................................... 127  78  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081683 -               0940....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081684 -               0940... 20 12100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081685 -               0940... 80 55680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081686 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081687 -               1400....miles...........   4.0   4.00   68   68 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081688 -               1520....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081689 -               1530....BP HR with Diff........................................... 120  86  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081690 -               1540....BP HR with Diff........................................... 118  75  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081691 -               1750... 40 28440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081692 -               2100............ 10 9550  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081693 -               2100............ 10 9140  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081694 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081695 -               2210... 20 10200 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081696 -               2220... 1500 1001500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081697 -               2300... 80 55680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081699 -  ..
081700 - Pain medication - none, to prevent liver damage lowering HDL.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081701 - moderate - minimal, i.e., tolerable pain level 1 - 3 when walking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081702 - including going up and down stairs, and 1 day after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081703 - treatment yesterday on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081705 -  ..
081706 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 2nd of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081707 - received on 180103 1428. ref SDS 78 WU6J  They seem a little better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081708 - than shoes received on 171113 1610. ref SDS 68 SM4M  Today, placed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081709 - Lynflex heel cushions, received from Mark at On-the-Run on 171229                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081710 - 1010, ref SDS 76 ZE7K, under both Satallite Elite orthotic inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081711 - since these were effective yesterday, providing rebound energy worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081712 - with new shoes worn on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081713 - configuration worked well today, providing protection for plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081714 - plate injury, and rebound energy for slow hike rehabing PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081715 - on 180105 1630. ref SDS 80 0001  There was slight pain right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081716 - plantar plate injury, despite increasing cutout slightly to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081717 - pressure on plantar plate over long hikes and on steep hills, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081718 - which was done on 180103 0942. ref SDS 77 KM41  Good news - pain was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081719 - level 1 - 2 and lasted less than .25 miles, and after 2 miles didn't                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081720 - notice it the rest of the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081722 -  ..
081723 - Hiking - rebab orthopedic treatment PRP injections in feet and knees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081724 - performed by Doctor Gloria Tucker, reported on 180105 1630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081725 - ref SDS 80 0001  Begin slow hiking short distance to distribute PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081726 - throughout joints.  Hiked down Treat to Clayton, time 1.2 miles 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081727 - minutes.  Continued Clayton .8 miles to Baily Road.  Returned same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081728 - route.  Slight pain right forefoot below middle toe.  Since there were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081729 - no injections on bottom of feet, unclear cause of minor pain.  Slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081730 - pain level 1 - 2 right knee near point of injection and for first mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081731 - or so, then dissipated.  Wore left foot new pair Hoka Bondi 5 Wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081732 - shoes received on 180103 1428. ref SDS 78 WU6J  Wore right foot Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081733 - 5 Wide shoe from pair received from On-the-Run on 170929 1010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081734 - ref SDS 65 TZ5H  Hiked 630 miles in pair purchased on 170929.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081735 - left side forefoot of the left shoe outer sole has worn through, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081736 - the right shoe is close to normal thickness, so wore the right shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081737 - from 170929, to compare plush cushioning with the new Bondi 5 Wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081738 - shores received on 180103.  Seemed like right foot has better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081739 - cushioning, but that is subjective.  Someone else might choose the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081740 - other way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081742 -  ..
081743 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081744 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081745 - Dinner - lettuce onion salmon tomato celery aspargus avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081746 - mushrooms, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081748 -  ..
081749 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081753 -         ..
081754 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081755 -   13.  180113 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081756 -               1000....BP HR with Diff........................................... 137  73  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081757 -               1005....BP HR with Diff........................................... 131  79  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081758 -               1020....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081759 -               1020... 20 12120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081760 -               1020... 80 55840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081761 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081762 -               1230....miles...........   7.0  11.00  118  186 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081763 -               1450....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081764 -               1510....BP HR with Diff........................................... 111  73  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081765 -               1520....BP HR with Diff........................................... 118  75  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081766 -               1820... 40 28480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081767 -             1 0000............ 10 9550  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081768 -             1 0000............ 10 9140  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081769 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081770 -               2240... 20 10220 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081771 -               2230... 1500 1003000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081772 -               2340... 80 55920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081774 -  ..
081775 - Pain medication - none, to prevent liver damage lowering HDL.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081776 - moderate - minimal, i.e., tolerable pain level 1 - 3 when walking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081777 - including going up and down stairs, and 1 day after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081778 - treatment yesterday on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081780 -  ..
081781 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 3rd of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081782 - received on 180103 1428. ref SDS 78 WU6J  They seem a little better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081783 - than shoes received on 171113 1610. ref SDS 68 SM4M  Today, placed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081784 - Lynflex heel cushions, received from Mark at On-the-Run on 171229                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081785 - 1010, ref SDS 76 ZE7K, under both Satallite Elite orthotic inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081786 - since these were effective yesterday, providing rebound energy worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081787 - with new shoes worn on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081788 - configuration worked well today, providing protection for plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081789 - plate injury, and rebound energy for slow hike rehabing PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081790 - on 180105 1630. ref SDS 80 0001  There was slight pain right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081791 - plantar plate injury, despite increasing cutout slightly to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081792 - pressure on plantar plate over long hikes and on steep hills, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081793 - which was done on 180103 0942. ref SDS 77 KM41  Good news - pain was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081794 - level 1 - 2 and lasted less than .25 miles, and after 2 miles didn't                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081795 - notice it the rest of the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081797 -  ..
081798 - Hiking - rebab orthopedic treatment PRP injections in feet and knees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081799 - performed by Doctor Gloria Tucker, reported on 180105 1630,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081800 - ref SDS 80 0001  Begin slow hiking short distance to distribute PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081801 - throughout joints.  Hiked down Treat to Clayton, time 1.2 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081802 - minutes.  Continued Clayton .8 miles to Baily Road.  Returned same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081803 - route.  Slight pain right forefoot below middle toe.  Since there were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081804 - no injections on bottom of feet, unclear cause of minor pain.  Slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081805 - pain level 1 - 2 right knee near point of injection and for first mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081806 - or so, then dissipated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081808 -  ..
081809 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081810 - Lunch - triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081811 - Dinner - eggs sausage toast candybar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081813 -  ..
081814 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081818 -         ..
081819 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081820 -   14.  180114 0920..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081821 -               0940....BP HR with Diff........................................... 127  80  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081822 -               0945....BP HR with Diff........................................... 128  82  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081823 -               0950....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081824 -               0950... 20 12140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081825 -               0950... 80 56000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081826 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081827 -               1130....miles...........   9.0  20.00  145  331 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081828 -               1420....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081829 -               1435....BP HR with Diff........................................... 107  70  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081830 -               1440....BP HR with Diff........................................... 114  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081831 -               1820... 40 28520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081832 -               2100............ 10 9560  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081833 -               2100............ 10 9150  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081834 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081835 -               2240... 20 10240 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081836 -               2230... 1500 1004500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081837 -               2340... 80 56080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081839 -  ..
081840 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 4th of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081841 - received on 180103 1428. ref SDS 78 WU6J  They seem a little better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081842 - than shoes received on 171113 1610. ref SDS 68 SM4M  Today, placed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081843 - Lynflex heel cushions, received from Mark at On-the-Run on 171229                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081844 - 1010, ref SDS 76 ZE7K, under both Satallite Elite orthotic inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081845 - since these were effective yesterday, providing rebound energy worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081846 - with new shoes worn on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081847 - configuration worked well today, providing protection for plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081848 - plate injury, and rebound energy for slow hike rehabing PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081849 - on 180105 1630. ref SDS 80 0001  There was slight pain right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081850 - plantar plate injury, despite increasing cutout slightly to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081851 - pressure on plantar plate over long hikes and on steep hills, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081852 - which was done on 180103 0942. ref SDS 77 KM41  Good news - pain was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081853 - level 1 - 2 and lasted less than .25 miles, and after 2 miles didn't                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081854 - notice it the rest of the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081856 -  ..
081857 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081858 - do extra 1 mile at the end.  Rehab orthopedic treatment PRP injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081859 - on 180105 1630, Starting with 4th new pair Hoka Bondi 5 Wide 2E shoes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081860 - received on 180103 1428, ref SDS 78 WU6J and with supplemental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081861 - cushioning in heel 1st tried on 180101, per above. ref SDS 37 UPVP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081862 - Calfs and feet pain level 0.  Slow pace time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081863 - minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081864 - Cushioning seems little better than shoes received on 171113 1610,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081865 - ref SDS 68 SM4M, but less than plush cushioning with 1st pair Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081866 - wide shows purchased from on-the-Run on 170929 1010, ref SDS 65 TZ5H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081867 - and confirmed in hike on 170930, per above. ref SDS 37 NG6O  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081868 - 3.1 near K-Mart felt pressure bottom right foot, which seems odd,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081869 - because there were no injections on bottome of feet.  There was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081870 - burning sensation on right leg forefoot, then occurred on left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081871 - Turned corner at mile 3.25 onto Ygnacio Valley Road and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081872 - concrete sidewalk to mile 3.5, switched to asphault roadway surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081873 - Bondi 5 wide 2E shoes cushioning still feel better than shoes received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081874 - on 171113 1610, ref SDS 68 SM4M, but less than plush cushioning with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081875 - 1st pair Bondi 5 wide shows purchased from on-the-Run on 170929 1010,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081876 - ref SDS 65 TZ5H, and confirmed in hike on 170930, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081877 - ref SDS 37 NG6O  Burning sensation declined at mile 3.5.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081878 - pace.  Time at mile 4.25 65 minutes.  Feeling strong at Cowell, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081879 - hiked uphill at faster pace, and over the summit.  Maintained good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081880 - pace downhill.  Turned on Oak Grove.  Called Kathy, and she met me at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081881 - Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081883 -  ..
081884 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081885 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081886 - Dinner - lettuce onion pasta tomato cellery hamburger avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081887 - mushrooms, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081889 -  ..
081890 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081894 -         ..
081895 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081896 -   15.  180115 0910..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081897 -               0935....BP HR with Diff........................................... 125  75  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081898 -               0940....BP HR with Diff........................................... 123  72  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081899 -               0950....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081900 -               0950... 20 12160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081901 -               0950... 80 56160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081902 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081903 -               1130....miles...........   5.0   5.00   79   79 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081904 -               1350....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081905 -               1355....BP HR with Diff........................................... 115  73  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081906 -               1400....BP HR with Diff........................................... 114  67  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081907 -               1740... 40 28560 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081908 -             1 0000............ 10 9560  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081909 -             1 0000............ 10 9150  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081910 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081911 -               2240... 20 10260 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081912 -               2230... 1500 1006000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081913 -               2340... 80 56240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081915 -  ..
081916 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 5th of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081917 - received on 180103 1428. ref SDS 78 WU6J  Cushioning was equal or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081918 - worse than shoes received on 171113 1610. ref SDS 68 SM4M  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081919 - placed Lynflex heel cushions, received from Mark at On-the-Run on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081920 - 171229 1010, ref SDS 76 ZE7K, under both Satallite Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081921 - inserts, since these were effective yesterday, providing rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081922 - energy worn with new shoes worn on 180102, per above. ref SDS 37 G46M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081923 - This configuration was problemantic today.  Seemed okay for plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081924 - plate injury, but no rebound energy for slow hike rehabing PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081925 - treatment on 180105 1630. ref SDS 80 0001  There was noticable pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081926 - level 3 in right foot along a line from long toe to arch of foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081927 - Seemed like a bubble perpendicular to forefoot across the foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081929 -  ..
081930 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081931 - do extra 1 mile at the end.  Rehab orthopedic treatment PRP injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081932 - on 180105 1630, Starting with 5th new pair Hoka Bondi 5 Wide 2E shoes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081933 - received on 180103 1428, ref SDS 78 WU6J and with supplemental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081934 - cushioning in heel 1st tried on 180101, per above. ref SDS 37 UPVP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081935 - Calfs and feet pain level 0.  Slow pace time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081936 - minutes.  Noticed immediately, soles of shoes are much harder than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081937 - prior 4 pair received on 180103 1428. ref SDS 78 WU6J  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081938 - on Clayton hiking on concrete sidewalk.  Seemed like distinct swelling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081939 - or bulge from right foot long toe perpendicular through forefoot.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081940 - burning sensation on right leg forefoot, then occurred on left foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081941 - as occurred yesterday, per above. ref SDS 37 UYUU  Turned corner at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081942 - mile 3.25 onto Ygnacio Valley Road and continued on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081943 - to mile 3.5, switched to asphault roadway surface.  Called Kathy for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081944 - ride home.  Time at mile 4.25 65 minutes.  Swelling problem seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081945 - decline a little continuing on Ygnacio Valley Road.  Kathy met me past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081946 - Crystal Ranch Road and startig uphill on Ygnacio Valley Road.  By then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081947 - diagnosed possibly felt wrapping on toes came loose and somehow worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081948 - into odd position.  On arriving home, checked this and found the felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081949 - wrap on toes was fully in place.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081951 -  ..
081952 - Pressing fingers across right forefoot seems like might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081953 - bulge/swelling from long toes across forefoot.  Could be natural                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081954 - trajectory of PRP injection therapy last week on 180105, ref SDS 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081955 - 0001, which is treated with hiking, explained by Doctor Tucker on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081956 - 170727 1747. ref SDS 59 0W6V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081958 -  ..
081959 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081960 - Lunch - hamburger chips, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081961 - Dinner - lettuce onion salmon pasta cellery avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081963 -  ..
081964 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081968 -         ..
081969 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081970 -   16.  180116 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081971 -               0905....BP HR with Diff........................................... 123  60  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081972 -               0950....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081973 -               0950... 20 12180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081974 -               0950... 80 56320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081975 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081976 -               1740... 40 28600 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081977 -               2050............ 10 9570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081978 -               2050............ 10 9160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081979 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081980 -               2210... 20 10280 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081981 -               2220... 1500 1007500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081982 -               2320... 80 56400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081984 -  ..
081985 - Right leg swelling bottom of forefoot that occurred while hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081986 - yesterday on 180815, per above, ref SDS 37 VPQV, was less pronounced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081987 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081989 -  ..
081990 - Hiking - none.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081992 -  ..
081993 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081994 - Lunch - meatloaf cottage cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081995 - Dinner - macaroni cheese meatloaf squash onion, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081997 -  ..
081998 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082002 -         ..
082003 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082004 -   17.  180117 0850..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082005 -               0930....BP HR with Diff........................................... 122  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082006 -               0940....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082007 -               0950... 20 12200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082008 -               0950... 80 56480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082009 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082010 -               1930... 40 28640 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082011 -             1 0000............ 10 9570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082012 -             1 0000............ 10 9160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082013 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082014 -               2110... 20 10300 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082015 -               2130... 1500 1009000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082016 -               2320... 80 56560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082018 -  ..
082019 - Right leg swelling bottom of forefoot that occurred while hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082020 - yesterday on 180815, per above, ref SDS 37 VPQV, did not recur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082022 -  ..
082023 - Hiking - none, working.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082025 -  ..
082026 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082027 - Lunch - sandwich pastrami tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082028 - Dinner - macaroni cheese meatloaf squash tuna mushrooms onion, half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082029 - donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082031 -  ..
082032 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082036 -         ..
082037 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082038 -   18.  180118 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082039 -               0830....BP HR with Diff........................................... 138  82  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082040 -               0840....BP HR with Diff........................................... 136  84  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082041 -               0920....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082042 -               0920... 20 12220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082043 -               0920... 80 56640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082044 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082045 -               1700... 40 28680 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082046 -               2110............ 10 9580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082047 -               2100............ 10 9170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082048 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082049 -               2230... 20 10320 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082050 -               2240... 1500 1010500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082051 -               2350... 80 56720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082053 -  ..
082054 - Seems like swelling bottom of both forefeet after PRP injection 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082055 - 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082057 -  ..
082058 - Hiking - none, let PRP treatment take hold, and recover blister on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082059 - big toe left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082061 -  ..
082062 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082063 - Lunch - chips, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082064 - Dinner - lettuce onion salmon avocado tomato mushrooms, toast cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082066 -  ..
082067 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082071 -         ..
082072 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082073 -   19.  180119 1000..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082074 -               1040....BP HR with Diff........................................... 140  82  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082075 -               1050....BP HR with Diff........................................... 130  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082076 -               1100....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082077 -               1100... 20 12240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082078 -               1100... 80 56800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082079 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082080 -               1130....miles...........   5.0   5.00   79   79 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082081 -               1350....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082082 -               1355....BP HR with Diff........................................... 115  73  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082083 -               1400....BP HR with Diff........................................... 114  67  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082084 -               1845... 40 28720 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082085 -             1 0000............ 10 9580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082086 -             1 0000............ 10 9170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082087 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082088 -               2120... 20 10340 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082089 -               2130... 1500 1012000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082090 -               2230... 80 56880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082092 -  ..
082093 - Seems like swelling bottom of both forefeet after PRP injection 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082094 - 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082096 -  ..
082097 - Pain in right knee this morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082099 -  ..
082100 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 6th of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082101 - received on 180103 1428. ref SDS 78 WU6J  Cushioning was equal or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082102 - worse than shoes received on 171113 1610, ref SDS 68 SM4M, and which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082103 - were returned to Hoka for exchange to correct defective cushioning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082104 - reported on 171211 0918. ref SDS 71 LP6M placed Lynflex heel cushions,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082105 - received from Mark at On-the-Run on 171229 1010, ref SDS 76 ZE7K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082106 - under both Satallite Elite orthotic inserts, since these were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082107 - effective yesterday, providing rebound energy worn with new shoes worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082108 - on 180102, per above. ref SDS 37 G46M  This configuration was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082109 - problemantic today.  Seemed okay for plantar plate injury, but no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082110 - rebound energy for slow hike rehabing PRP treatment on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082111 - ref SDS 80 0001  There was noticable pain level 3 in right foot along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082112 - a line from long toe to arch of foot.  Seemed like a bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082113 - perpendicular to forefoot across the foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082115 -  ..
082116 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082117 - do extra 1 mile at the end.  Rehab orthopedic treatment PRP injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082118 - on 180105 1630, Starting with 5th new pair Hoka Bondi 5 Wide 2E shoes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082119 - received on 180103 1428, ref SDS 78 WU6J and with supplemental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082120 - cushioning in heel 1st tried on 180101, per above. ref SDS 37 UPVP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082121 - Calfs and feet pain level 0.  Slow pace time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082122 - minutes.  Noticed immediately, soles of shoes are much harder than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082123 - prior 4 pair received on 180103 1428. ref SDS 78 WU6J  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082124 - on Clayton hiking on concrete sidewalk.  Seemed like distinct swelling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082125 - or bulge from right foot long toe perpendicular through forefoot.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082126 - burning sensation on right leg forefoot, then occurred on left foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082127 - as occurred yesterday, per above. ref SDS 37 UYUU  Turned corner at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082128 - mile 3.25 onto Ygnacio Valley Road and continued on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082129 - to mile 3.5, switched to asphault roadway surface.  Called Kathy for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082130 - ride home.  Time at mile 4.25 65 minutes.  Swelling problem seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082131 - decline a little continuing on Ygnacio Valley Road.  Kathy met me past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082132 - Crystal Ranch Road and startig uphill on Ygnacio Valley Road.  By then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082133 - diagnosed possibly felt wrapping on toes came loose and somehow worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082134 - into odd position.  On arriving home, checked this and found the felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082135 - wrap on toes was fully in place.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082137 -  ..
082138 - Pressing fingers across right forefoot seems like might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082139 - bulge/swelling from long toes across forefoot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082141 -  ..
082142 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082143 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082144 - Dinner - lettuce onion salmon macaroni cheese avocado tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082145 - mushrooms, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082147 -  ..
082148 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082152 -         ..
082153 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082154 -   20.  180120 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082155 -               0850....BP HR with Diff........................................... 130  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082156 -               0855....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082157 -               0855... 20 12260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082158 -               0855... 80 56960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082159 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082160 -               1330....miles...........   7.0  12.00  113  192 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082161 -               1525....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082162 -               1530....BP HR with Diff........................................... 104  78  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082163 -               1540....BP HR with Diff........................................... 111  81  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082164 -               1810... 40 28760 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082165 -               2100............ 10 9590  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082166 -               2100............ 10 9180  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082167 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082168 -               2210... 20 10360 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082169 -               2220... 1500 1013500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082170 -               2320... 80 57040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082172 -  ..
082173 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 6th of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082174 - received on 180103 1428. ref SDS 78 WU6J  Cushioning was equal to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082175 - shoes received on 180103 1428, ref SDS 78 WU6J, and worn initially on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082176 - 180114, per above. ref SDS 37 1U4G  Lynflex heel cushions, received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082177 - from Mark at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082178 - Satallite Elite orthotic inserts, since these were effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082179 - yesterday, providing rebound energy worn with new shoeson 180102, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082180 - above. ref SDS 37 G46M  This worked well today.  Seemed okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082181 - plantar plate injury, and good rebound energy for slow hike rehabing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082182 - PRP treatment on 180105 1630. ref SDS 80 0001  There was noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082183 - pain level 1 mostly in right foot from swelling ball of foot, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082184 - some on left foot.  This improved over 7 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082186 -  ..
082187 - Wrapped toes of left foot with wool/felt to maintain spacing, so toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082188 - are squeezed out of alignment from tighting shoe laces and hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082189 - This worked pretty well.  Did not feel callous injury on right edge of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082190 - left foot big toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082192 -  ..
082193 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082194 - do extra 1 mile at the end.  Rehab orthopedic treatment PRP injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082195 - on 180105 1630, Starting with 6th new pair Hoka Bondi 5 Wide 2E shoes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082196 - received on 180103 1428, ref SDS 78 WU6J and with supplemental                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082197 - cushioning in heel 1st tried on 180101, per above. ref SDS 37 UPVP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082198 - Calfs and feet pain level 0.  Slow pace time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082199 - minutes.  Shoe soles seem softer and better heel cushion, similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082200 - prior 4 pair received on 180103 1428. ref SDS 78 WU6J  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082201 - on Clayton hiking on concrete sidewalk.  Seemed like distinct swelling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082202 - or bulge across the right forefoot.  There was some burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082203 - also across the forefoot.  This was less pronounced on left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082204 - Turned corner at mile 3.25 onto Ygnacio Valley Road and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082205 - concrete sidewalk to mile 3.5, switched to asphault roadway surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082206 - Time to mile 4.25 at Pine Hollow 71 minutes.  Continued on asphault.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082207 - About mile 5 swelling and burning sensation calmed down.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082208 - corner on Cowell and returned home to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082210 -  ..
082211 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082212 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082213 - Dinner - macaroni cheese meatloaf squash tuna mushrooms onion, half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082214 - donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082216 -  ..
082217 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082222 -         ..
082223 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082224 -   21.  180121 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082225 -               0900....BP HR with Diff........................................... 137  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082226 -               0900....BP HR with Diff........................................... 128  78  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082227 -               0905....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082228 -               0920... 20 12280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082229 -               0920... 80 57120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082230 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082231 -               1225....miles...........   5.0  17.00   82  274 minutes temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082232 -               1400....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082233 -               1410....BP HR with Diff........................................... 108  77  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082234 -               1420....BP HR with Diff........................................... 108  77  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082235 -               1700... 40 28800 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082236 -             1 0000............ 10 9590  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082237 -             1 0000............ 10 9180  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082238 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082239 -               2010... 20 10380 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082240 -               2030... 1500 1015000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082241 -               2140... 80 57200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082243 -  ..
082244 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 1st of 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082245 - received on 180115 1523. ref SDS 82 555H  Cushioning was equal to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082246 - shoes received on 180103 1428, ref SDS 78 WU6J, and worn initially on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082247 - 180114, per above. ref SDS 37 1U4G  Lynflex heel cushions, received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082248 - from Mark at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082249 - Satallite Elite orthotic inserts, since these were effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082250 - yesterday, providing rebound energy worn with new shoeson 180102, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082251 - above. ref SDS 37 G46M  This worked well today.  Seemed okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082252 - plantar plate injury, and good rebound energy for slow hike rehabing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082253 - PRP treatment on 180105 1630. ref SDS 80 0001  There was noticable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082254 - pain level 1 mostly in right foot from swelling ball of foot, and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082255 - on left foot.  This improved over 5 mile hike - barely noticed at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082256 - end, possibly because ran about 300 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082258 -  ..
082259 - Tried not wrapping toes of left foot with wool/felt to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082260 - spacing, so toes are squeezed out of alignment from tighting shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082261 - laces and hiking.  This worked pretty well.  Did not feel callous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082262 - injury on right edge of left foot big toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082264 -  ..
082265 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082266 - do extra 1 mile at the end.  Rehab orthopedic treatment PRP injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082267 - on 180105 1630. ref SDS 80 0001  Starting with 1st new pair Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082268 - 5 Wide 2E shoes, received on 180115 1523, ref SDS 82 555H, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082269 - supplemental cushioning in heel 1st tried on 180101, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082270 - ref SDS 37 UPVP  Calfs and feet pain level 0.  Fast pace time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082271 - miles 18 minutes.  Shoe soles seem softer and better heel cushion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082272 - similar to prior 4 pair received on 180103 1428. ref SDS 78 WU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082273 - Maintained pace on Clayton hiking on concrete sidewalk.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082274 - 2.8 Seemed like distinct swelling or bulge across the right forefoot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082275 - There was some burning sensation also across the forefoot.  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082276 - less pronounced on left foot.  Slowed pace.  Called Kathy to meet at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082277 - gas station on Pine Hollow mile 4.25.  Now 3 weeks after PRP on 180105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082278 - 1630, ref SDS 80 0001, hopefully swelling is part of rehab during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082279 - walking, which Doctor Tucker prescribed on 170727 1747. ref SDS 59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082280 - 0W6V  Turned corner at mile 3.25 onto Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082281 - continued on concrete sidewalk to mile 3.5, switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082282 - roadway surface.  Time to mile 4.25 at Pine Hollow 71 minutes.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082283 - had not arrived, so continued on Ygnacio Valley Road.  Called Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082284 - to pick me up on the road rather than at gas station.  Switched back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082285 - to North side of Ygnacio Valley Road, to right side of road in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082286 - direction of traffic.  Came to narrow shoulder area, which would be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082287 - difficult for Kathy to feel safe stopping for me to get into the car.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082288 - Ran about 300 yards to where shoulder wides to about 20'.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082289 - still did not arrive, so continued on Ygnacio Valley Road.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082290 - Ayers, also Campus Drive on South side of road.  Continued toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082291 - Crystal Ranch Road.  Kathy arrived about mile 5, so ended hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082293 -  ..
082294 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082295 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082296 - Dinner - pizza beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082298 -  ..
082299 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082304 -         ..
082305 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082306 -   22.  180122 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082307 -               0930....BP HR with Diff........................................... 136  77  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082308 -               0940....BP HR with Diff........................................... 135  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082309 -               0950....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082310 -               0950... 20 12300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082311 -               0950... 80 57280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082312 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082313 -               1130....miles...........  11.0  11.00  167  167 minutes temp  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082314 -               1450....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082315 -               1505....BP HR with Diff........................................... 108  72 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082316 -               1420....BP HR with Diff........................................... 113  71 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082317 -               1640... 40 28840 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082318 -             1 1910............ 10 9600  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082319 -             1 1910............ 10 9190  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082320 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082321 -               2000... 20 10400 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082322 -               2030... 1500 1016500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082323 -               2120... 80 57360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082325 -  ..
082326 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 2nd of 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082327 - received on 180115 1523. ref SDS 82 555H  Cushioning was equal to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082328 - shoes received on 180103 1428, ref SDS 78 WU6J, and worn initially on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082329 - 180114, per above. ref SDS 37 1U4G  Lynflex heel cushions, received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082330 - from Mark at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082331 - Satallite Elite orthotic inserts, since these were effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082332 - yesterday, providing rebound energy worn with new shoes on 180102, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082333 - above. ref SDS 37 G46M  This worked very well today.  Excellent for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082334 - plantar plate injury, and good rebound energy - similar or better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082335 - 1st pair Bondi 5 Wide 2E size 9.5 tried at On-the-Run on 170929 1010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082336 - ref SDS 65 TZ5H, and further reported for 1st hike on 170930, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082337 - above. ref SDS 37 XRVQ  Today, did fast hike rehabing PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082338 - 180105 1630. ref SDS 80 0001  There was occassional pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082339 - mostly in right foot from swelling ball of foot, and some on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082340 - foot.  This improved over 11 mile hike - barely noticed at the end,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082341 - possibly because ran several times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082343 -  ..
082344 - Wrapping toes of left foot with wool/felt to maintain spacing, so toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082345 - are squeezed out of alignment from tighting shoe laces and hiking, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082346 - planning above on 180104. ref SDS 37 USWR  This worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082347 - Did not feel callous injury on right edge of left foot big toe, until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082348 - about mile 9.5 going up hill on Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082350 -  ..
082351 - On next hike will try applying felt cloth protection to both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082352 - because have noticed on hikes the left foot where felt was applied did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082353 - not feel pain from swelling on forefoot.  Seems like this felt cloth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082354 - wrap on left foot relieves some pressure on ball of foot with each                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082355 - step transferred to muscles and toes.  Today, wrapping both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082357 -  ..
082358 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082359 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082360 - 180105 1630. ref SDS 80 0001  Starting with 2nd new pair Hoka Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082361 - Wide 2E shoes, received on 180115 1523, ref SDS 82 555H, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082362 - supplemental cushioning in heel 1st tried on 180101, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082363 - ref SDS 37 UPVP  Calfs and feet pain level 0.  Fast pace time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082364 - miles 17 minutes.  Shoe soles seem softer and better heel cushion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082365 - better than prior 4 pair received on 180103 1428, ref SDS 78 WU6J, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082366 - equal or better than 1st pair Bondi 5 Wide 2E purchased at On-the-Run                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082367 - on 170929 1010. ref SDS 65 TZ5H  Maintained fast pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082368 - hiking on concrete sidewalk.  About mile 1.7 Seemed like distinct                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082369 - swelling or bulge across the right forefoot.  There was some burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082370 - sensation also across the forefoot.  This was less pronounced on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082371 - foot.  Slowed pace.  Now 3 weeks after PRP on 180105 1630, ref SDS 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082372 - 0001, hopefully swelling is part of rehab during walking, which Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082373 - Tucker prescribed on 170727 1747. ref SDS 59 0W6V  Turned corner at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082374 - mile 3.25 onto Ygnacio Valley Road and continued on concrete sidewalk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082375 - to mile 3.5, switched to asphault roadway surface.  Seems like less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082376 - swelling on right forefoot and none on left forefoot.  Maintained fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082377 - pace.  Time to mile 4.25 at Pine Hollow 63 minutes.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082378 - Ygnacio Valley Road 2 miles.  Increased pace going uphill to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082379 - Faster pace going downhill 2 miles to Oak Grove.  Maintained fast pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082380 - to Treat.  Surprised increased pace going uphill on Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082381 - maintained to end of hike.  One of best hikes in over a year with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082382 - speed and no pain in feet nor knees, and no pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082384 -  ..
082385 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082386 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082387 - Dinner - lettuce onion tomato salmon avocado cucumber squash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082389 -  ..
082390 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082394 -         ..
082395 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082396 -   23.  180123 0610..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082397 -               0630....BP HR with Diff........................................... 122  70  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082398 -               0640....BP HR with Diff........................................... 126  68  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082399 -               0645....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082400 -               0645... 20 12320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082401 -               0645... 80 57440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082402 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082403 -               1720... 40 28840 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082404 -             1 0000............ 10 9600  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082405 -             1 0000............ 10 9190  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082406 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082407 -               1930... 20 10420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082408 -               2010... 1500 1018000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082409 -               2050... 80 57520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082411 -  ..
082412 - Blood Pressure and pulse way down after hiking past 2 days, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082413 - yesterday doing 11 miles at high speed all the way. ref SDS 37 VTRY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082415 -  ..
082416 - Hiking - none, drive to Sacramento for meeting with Doctor Lee in GI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082417 - Clinic at VA Medical Center.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082419 -  ..
082420 - Wore 1st pair Hoka Bondi 5 Wide 2E shoes size 9.5, received on 171222                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082421 - 1642. ref SDS 73 GQ4M  These shoes were ordered on 171221 0910.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082422 - ref SDS 72 WG3O  They were worn in a hike on 171223, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082423 - ref SDS 37 US7M  At that time, reported shoes feel stiff and hard sole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082424 - like walking on bricks.  Feet hurt immediately pain level 2, so slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082425 - pace. ref SDS 37 TUPX  Today, applied felt cloth protection to both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082426 - feet, because have noticed on hikes the left foot where felt was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082427 - applied did not feel pain from swelling on forefoot.  Seems like this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082428 - felt cloth wrap on left foot relieves some pressure on ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082429 - with each step transferred to muscles and toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082431 -  ..
082432 - Today, wrapping both feet, per planning yesterday, shown above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082433 - ref SDS 37 VTRS, did short hike about .5 miles around Christian                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082434 - Brother's high school, waiting for school to let out at 1500, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082435 - pickup Simone and her friend, Victoria.  These Hoka Bondi 5 Wide 2E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082436 - shoes, which previoulsy felt like walking on bricks, felt today like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082437 - plush cushioning wearing felt padding on both feet.  There was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082438 - sense of swelling on right foot, as occurred yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082439 - ref SDS 37 VTRY  Need to do full hikes, but initially this seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082440 - effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082442 -  ..
082443 - Breakfast - eggs bacon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082444 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082445 - Dinner - lettuce onion tomato pasta avocado cucumber hamburger cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082447 -  ..
082448 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082452 -         ..
082453 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082454 -   24.  180124 0400..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082455 -               0435....BP HR with Diff........................................... 157  80  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082456 -               0445....BP HR with Diff........................................... 145  78  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082457 -               0450....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082458 -               0450... 20 12320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082459 -               0450... 80 57600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082460 -               1140....BP HR with Diff........................................... 128  59  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082461 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082462 -               1700... 40 28880 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082463 -               2030............ 10 9610  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082464 -               2030............ 10 9200  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082465 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082466 -               2150... 20 10440 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082467 -               2210... 1500 1019500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082468 -               2250... 80 57680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082470 -  ..
082471 - Hiking - none, in Sacramento for meeting with Doctor Lee in GI Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082472 - at VA Medical Center.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082474 -  ..
082475 - Breakfast - toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082476 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082477 - Dinner - lettuce squash onion hamburger pasta avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082478 - tomato, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082480 -  ..
082481 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082485 -         ..
082486 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082487 -   25.  180125 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082488 -               0840....BP HR with Diff........................................... 124  72  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082489 -               0845....BP HR with Diff........................................... 120  69  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082490 -               0850....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082491 -               0850... 20 12340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082492 -               0850... 80 57760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082493 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082494 -               1910... 40 28920 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082495 -             1 0000............ 10 9610  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082496 -             1 0000............ 10 9200  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082497 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082498 -               2140... 20 10460 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082499 -               2210... 1500 1021000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082500 -               2340... 80 57840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082502 -  ..
082503 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082505 -  ..
082506 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082507 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082508 - Dinner - lettuce squash onion avocado mushrooms tomato, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082510 -  ..
082511 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082515 -         ..
082516 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082517 -   26.  180126 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082518 -               0900....BP HR with Diff........................................... 133  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082519 -               0905....BP HR with Diff........................................... 133  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082520 -               0910....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082521 -               0910... 20 12360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082522 -               0910... 80 57920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082523 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082524 -               1335....miles...........  11.0  22.00  176  343 minutes temp  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082525 -               1710....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082526 -               1715....BP HR with Diff........................................... 113  79  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082527 -               1730....BP HR with Diff........................................... 109  67  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082528 -               1800... 40 28960 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082529 -               2100............ 10 9620  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082530 -               2100............ 10 9210  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082531 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082532 -               2140... 20 10480 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082533 -               2210... 1500 1022500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082534 -               2340... 80 58000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082536 -  ..
082537 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 1st of 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082538 - received on 171222 1642. ref SDS 73 GQ4M  Cushioning seemed better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082539 - today, than when first worn on 171223, per above. ref SDS 37 EO5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082540 - Seemed closer to shoes received on 180103 1428, ref SDS 78 WU6J, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082541 - worn initially on 180114, per above. ref SDS 37 1U4G  Lynflex heel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082542 - cushions, received from Mark at On-the-Run on 171229 1010, ref SDS 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082543 - ZE7K, under both Satallite Elite orthotic inserts, since these were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082544 - effective providing rebound energy worn with new shoes on 180102, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082545 - above. ref SDS 37 G46M  This worked well today.  Seemed okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082546 - plantar plate injury, and good rebound energy for hike rehabing PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082547 - treatment on 180105 1630. ref SDS 80 0001  About mile 2 there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082548 - noticable pain level 1 only in right foot from swelling ball of foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082549 - None on left foot.  This improved over 11 mile hike.  Went away after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082550 - mile 4, but returned going uphill to summit on Ygnacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082551 - then subsided on downhill, but returned going uphill on Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082552 - Subsided again last 1.5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082554 -  ..
082555 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082556 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082557 - worked pretty well.  Did not feel callous injury on right edge of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082558 - foot big toe until about mile 9.5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082560 -  ..
082561 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082562 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082563 - 180105 1630. ref SDS 80 0001  Starting with 1st new pair Hoka Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082564 - Wide 2E shoes, received on 171222 1642. ref SDS 73 GQ4M and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082565 - supplemental cushioning in heel 1st tried on 180101, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082566 - ref SDS 37 UPVP  Calfs and feet pain level 2.  Slow pace time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082567 - miles 19 minutes.  Shoe soles seem softer and better heel cushion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082568 - similar to 6 pair received on 180103 1428. ref SDS 78 WU6J  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082569 - pace on Clayton hiking on concrete sidewalk.  About mile 2.0 Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082570 - like distinct swelling or bulge about .75" wide from right foot long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082571 - toe vertical across ball of foot.  There was some burning sensation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082572 - This did not occur on left foot.  Slowed pace.  Now 3 weeks after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082573 - on 180105 1630, ref SDS 80 0001, since no left foot involvement, seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082574 - like swelling is related to plantar plate, rather than part of rehab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082575 - during walking, which Doctor Tucker prescribed on 170727 1747.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082576 - ref SDS 59 0W6V  Turned corner at mile 3.25 onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082577 - and continued on concrete sidewalk to mile 3.5, switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082578 - roadway surface.  Time to mile 4.25 at Pine Hollow 68 minutes.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082579 - this location at mile 4.5 noticed pain in left foot subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082580 - Increased pace going uphill to summit.  Pain in ball of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082581 - recurred.  Tried emphasizing heel, and minimizing forefoot.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082582 - worked a little.  Going downhill pain in right ball of foot subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082583 - again, so increased pace.  Traffic was heavy so crossed to center                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082584 - divide, and then to west-bound lane.  Hiked off-road, because there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082585 - was no shoulder - this slowed pace until reached sidewalk.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082586 - corner onto Oak Grove.  Maintained good pace to Treat.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082587 - onto Treat.  Couldn't run, so missed traffic green light.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082588 - North,West-bound traffic side when there was a break in commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082589 - traffic.  Increased pace for 1 mile.  Going uphill pain in bottom of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082590 - right forefoot recurred, so slowed pace until reaching summit.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082591 - summit, pain subsided again, so increased pace to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082592 - Everything else good - no pain in knees, hips, back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082594 -  ..
082595 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082596 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082597 - Dinner - pizza small piece beer fritos, cookies ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082599 -  ..
082600 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082604 -         ..
082605 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082606 -   27.  180127 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082607 -               0830....BP HR with Diff........................................... 128  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082608 -               0835....BP HR with Diff........................................... 126  70  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082609 -               0840....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082610 -               0840... 20 12380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082611 -               0840... 80 58080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082612 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082613 -               1235....miles...........  11.0  33.00  176  519 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082614 -               1600....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082615 -               1605....BP HR with Diff........................................... 103  71 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082616 -               1730....BP HR with Diff........................................... 101  66 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082617 -               1725... 40 29000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082618 -             1 0000............ 10 9620  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082619 -             1 0000............ 10 9210  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082620 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082621 -               2110... 20 10500 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082622 -               2140... 1500 1024000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082623 -               2320... 80 58160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082625 -  ..
082626 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 1st of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082627 - received on 180103 1428, ref SDS 78 WU6J and worn initially on 180114,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082628 - per above. ref SDS 37 1U4G  Lynflex heel cushions, received from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082629 - at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082630 - Elite orthotic inserts, since these were effective providing rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082631 - energy worn with new shoes on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082632 - worked well today.  Seemed okay for plantar plate injury, and good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082633 - rebound energy for hike rehabing PRP treatment on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082634 - ref SDS 80 0001  About mile .5 noticable pain level 1 only in right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082635 - foot from swelling ball of foot.  Seems likely this is plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082636 - injury.  Went away after mile 2 and did not return enture hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082638 -  ..
082639 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082640 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082641 - worked pretty well.  Did not feel callous injury on right edge of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082642 - foot big toe entire route.  Considering that wrapping long toe on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082643 - right foot could be stressing plantar plate tear.  Tomorrow will try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082644 - not wrapping long toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082646 -  ..
082647 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082648 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082649 - 180105 1630. ref SDS 80 0001  Starting with 1st of 6 pair Hoka Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082650 - Wide 2E shoes, received on 180103 1428, ref SDS 78 WU6J and worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082651 - initially on 180114, and with supplemental cushioning in heel 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082652 - tried on 180101, per above. ref SDS 37 UPVP  Legs tired, calfs pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082653 - level 2.  Slow pace time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082654 - Clayton hiking on concrete sidewalk.  No swelling or bulge on bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082655 - of right foot today, as occurred yesterday, per above. ref SDS 37 VUQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082656 - There was mild burning sensation.  This did not occur on left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082657 - Slowed pace.  Turned corner at mile 3.25 onto Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082658 - continued on concrete sidewalk to mile 3.5, switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082659 - roadway surface.  Time to mile 4.25 at Pine Hollow 69 minutes.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082660 - this location at mile 4.5 noticed pain in left foot subsided.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082661 - increased, so increased pace going uphill to summit.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082662 - maintained pace.  Noticed legs felt heavy/tired, so glad did not try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082663 - Crystal Ranch Road 4-mile loop.  Turned corner onto Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082664 - Maintained pace to Treat.  Turned corner onto Treat.  Couldn't run, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082665 - missed traffic green light.  Crossed to North,West-bound traffic side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082666 - when there was a break in commute traffic.  Increased pace for 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082667 - until reaching summit.  Maintained pace to end of hike.  Everything                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082668 - else good - no pain in knees, hips, back.  Legs very tired.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082670 -  ..
082671 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082672 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082673 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082675 -  ..
082676 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082680 -         ..
082681 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082682 -   28.  180128 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082683 -               0820....BP HR with Diff........................................... 132  78  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082684 -               0830....BP HR with Diff........................................... 128  76  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082685 -               0835....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082686 -               0835... 20 12400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082687 -               0835... 80 58240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082688 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082689 -               1230....miles...........  11.0  44.00  177  696 minutes temp  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082690 -               1550....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082691 -               1555....BP HR with Diff........................................... 107  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082692 -               1605....BP HR with Diff...........................................  98  73 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082693 -               1725... 40 29040 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082694 -               2100............ 10 9630  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082695 -               2100............ 10 9220  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082696 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082697 -               2110... 20 10520 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082698 -               2140... 1500 1025500 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082699 -               2320... 80 58320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082701 -  ..
082702 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 2nd of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082703 - received on 180103 1428, ref SDS 78 WU6J and worn initially on 180114,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082704 - per above. ref SDS 37 1U4G  Lynflex heel cushions, received from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082705 - at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082706 - Elite orthotic inserts, since these were effective providing rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082707 - energy worn with new shoes on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082708 - worked well today.  Seemed okay for plantar plate injury, and good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082709 - rebound energy for hike rehabing PRP treatment on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082710 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082712 -  ..
082713 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082714 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082715 - worked pretty well.  Did not feel callous injury on right edge of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082716 - foot big toe entire route.  Today, wrapped right foot long toe only on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082717 - top and not on the bottom to miminize stressing plantar plate tear.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082718 - Worked well.  Had pain level 0 - 1 along plantar plate injury right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082719 - foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082721 -  ..
082722 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082723 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082724 - 180105 1630. ref SDS 80 0001  Starting with 2nd of 6 pair Hoka Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082725 - Wide 2E shoes, received on 180103 1428, ref SDS 78 WU6J and worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082726 - initially on 180114, and with supplemental cushioning in heel 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082727 - tried on 180101, per above. ref SDS 37 UPVP  Energy better today, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082728 - still legs tired, calfs pain level 0.  Pace okay time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082729 - 18 minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082730 - About mile 2.75 in parking lot at K-Mart there was mild burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082731 - sensation bottom both feet.  Felt plantar plate long toe left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082732 - pain level 1 - 2 aligns with MRI left foot radiologist reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082733 - degeneration but no plantar plate tear on 171229 0900. ref SDS 75 JI40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082734 - Slowed pace.  Lasted less than .25 miles, Turned corner at mile 3.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082735 - onto Ygnacio Valley Road and continued on concrete sidewalk to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082736 - 3.5, switched to asphault roadway surface.  Burning sensation both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082737 - feet subsided - increased pace.  Time to mile 4.25 at Pine Hollow 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082738 - minutes.  Energy increased, so increased pace going uphill to summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082739 - however, burning sensation both feet recurred.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082740 - maintained pace.  Burning sensation both feet subsided.  About mile 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082741 - back pain level 2 right side.  pain level 2 right knee.  About mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082742 - on flatter ground, pain level 0 everything.  Turned corner onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082743 - Grove.  Maintained pace to Treat.  Sprinted across Treat to beat left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082744 - turning traffic.  Feet felt good, so fast pace on Treat.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082745 - going uphill, burning sensation both feet pain level 2.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082746 - reaching summit pain decreased level 0, so increased pace to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082747 - hike.  No pain last 1.5 miles.  Legs less tired than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082749 -  ..
082750 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082751 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082752 - Dinner - lettuce onion avocado asparagus tomato cumcumber mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082753 - cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082755 -  ..
082756 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082760 -         ..
082761 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082762 -   29.  180129 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082763 -               0820....BP HR with Diff........................................... 124  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082764 -               0825....BP HR with Diff........................................... 128  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082765 -               0830....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082766 -               0830... 20 12420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082767 -               0830... 80 58400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082768 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082769 -               1600... 40 29080 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082770 -             1 0000............ 10 9630  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082771 -             1 0000............ 10 9220  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082772 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082773 -               2015... 20 10540 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082774 -               2040... 1500 1027000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082775 -               2210... 80 58480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082777 -  ..
082778 - Hiking - none today, letting legs rest.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082780 -  ..
082781 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082782 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082783 - Dinner - lettuce onion avocado asparagus tuna cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082784 - tomato cumcumber mushrooms, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082786 -  ..
082787 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082792 -         ..
082793 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082794 -   30.  180130 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082795 -               0840....BP HR with Diff........................................... 132  80  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082796 -               0850....BP HR with Diff........................................... 142  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082797 -               0830....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082798 -               0830... 20 12440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082799 -               0830... 80 58560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082800 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082801 -               1200....miles...........  11.0  11.00  183  183 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082802 -               1550....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082803 -               1555....BP HR with Diff...........................................  96  75  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082804 -               1605....BP HR with Diff........................................... 105  75  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082805 -               1700... 40 29120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082806 -               2020............ 10 9640  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082807 -               2020............ 10 9230  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082808 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082809 -               2115... 20 10560 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082810 -               2130... 1000 1028000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082811 -               2310... 80 58640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082813 -  ..
082814 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 3rd of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082815 - received on 180103 1428, ref SDS 78 WU6J and worn initially on 180114,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082816 - per above. ref SDS 37 1U4G  Lynflex heel cushions, received from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082817 - at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082818 - Elite orthotic inserts, since these were effective providing rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082819 - energy worn with new shoes on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082820 - worked well today.  Seemed okay for plantar plate injury, and good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082821 - rebound energy for hike rehabing PRP treatment on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082822 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082824 -  ..
082825 - There was burning sensation off-and-on entire hike, mostly going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082826 - uphill, and mostly on bottom of right forefoot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082828 -  ..
082829 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082830 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082831 - worked pretty well.  Did not feel callous injury on right edge of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082832 - foot big toe until going uphill on Treat at mile 9.7.  Today, wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082833 - right foot long toe only on top and not on the bottom to miminize                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082834 - stressing plantar plate tear.  Worked well.  Had pain level 0 - 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082835 - along plantar plate injury right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082837 -  ..
082838 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082839 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082840 - 180105 1630. ref SDS 80 0001  Starting with 3rd of 6 pair Hoka Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082841 - Wide 2E shoes, received on 180103 1428, ref SDS 78 WU6J and worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082842 - initially on 180114, and with supplemental cushioning in heel 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082843 - tried on 180101, per above. ref SDS 37 UPVP  Energy low today, legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082844 - still tired despite resting yesterday.  Pace slow time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082845 - 19 minutes.  Continued slow pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082846 - sidewalk.  Knees hurting at mile 1.8 near Nations.  Feeling of felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082847 - wool cloth on right foot little toe was misplaced.  Seems like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082848 - swelling bottom of right forefoot.  Left foot perfect.  About mile 3.0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082849 - in parking lot at K-Mart there was mild burning sensation bottom right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082850 - forefoot, only on right side.  Plantar plate long toe right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082851 - level 0.  Turned corner at mile 3.25 onto Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082852 - continued on concrete sidewalk to mile 3.5, switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082853 - roadway surface.  Burning sensation bottom right foot increased.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082854 - Recurred on left foot, but mild.  Time to mile 4.25 at Pine Hollow 70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082855 - minutes.  Burning sensation both feet recurred over 2 miles and going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082856 - uphill to summit on Ygnacio Valley Road.  Going downhill maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082857 - pace.  Burning sensation both feet subsided.  Both knees pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082858 - on downhill.  Pain level 2 both knees.  About mile 7 on flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082859 - ground, pain level 0 everything.  Turned corner onto Oak Grove.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082860 - knees pain level 2.  Swelling bottom right forefoot subsided.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082861 - corner onto Treat and maintained slow pace both knees pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082862 - Swelling on right foot subsided.  Feet felt better until going uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082863 - then burning sensation recurred.  Both knees pain subsided going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082864 - uphill.  Legs still tired at end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082866 -  ..
082867 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082868 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082869 - Dinner - lettuce onion avocado asparagus tuna cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082870 - tomato cumcumber mushrooms, cookies milk ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082872 -  ..
082873 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082877 -         ..
082878 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082879 -   31.  180131 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082880 -               0905....BP HR with Diff........................................... 122  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082881 -               0910....BP HR with Diff........................................... 123  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082882 -               0920....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082883 -               0920... 20 12460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082884 -               0920... 80 58720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082885 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082886 -         ** cr 1140....miles...........  11.0  22.00  174  357 minutes temp  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082887 -               1520....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082888 -               1530....BP HR with Diff........................................... 103  71  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082889 -               1540....BP HR with Diff........................................... 106  70  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082890 -               1730... 40 29120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082891 -             1 0000............ 10 9640  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082892 -             1 0000............ 10 9230  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082893 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082894 -               2115... 20 10580 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082895 -               2130... 1000 1029000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082896 -               2310... 80 58800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082898 -  ..
082899 - ** cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082901 -  ..
082902 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 4th of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082903 - received on 180103 1428, ref SDS 78 WU6J and worn initially on 180114,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082904 - per above. ref SDS 37 1U4G  Lynflex heel cushions, received from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082905 - at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082906 - Elite orthotic inserts, since these were effective providing rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082907 - energy worn with new shoes on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082908 - worked well today.  Seemed okay for plantar plate injury, and good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082909 - rebound energy for hike rehabing PRP treatment on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082910 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082912 -  ..
082913 - There was burning sensation only until Ygnacio Valley Road, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082914 - only on bottom of right forefoot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082916 -  ..
082917 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082918 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082919 - worked pretty well.  Did not feel callous injury on right edge of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082920 - foot big toe until going uphill on Treat at mile 9.7.  Today, wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082921 - right foot long toe only on top and not on the bottom to miminize                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082922 - stressing plantar plate tear.  Worked well.  Had pain level 0 - 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082923 - along plantar plate injury right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082925 -  ..
082926 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082927 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082928 - 180105 1630. ref SDS 80 0001  Starting with 4th of 6 pair Hoka Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082929 - wide 2E shoes, received on 180103 1428, ref SDS 78 WU6J and worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082930 - initially on 180114, and with supplemental cushioning in heel 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082931 - tried on 180101, per above. ref SDS 37 UPVP  Energy better today.  Legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082932 - tired from hike yesterday, but pace faster; time to 1.25 miles 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082933 - minutes.  Maintained fast pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082934 - At Chevron gas station about mile 2.25 had to slow down, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082935 - bubble on bottom of right forefoot.  Left foot perfect.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082936 - 3.0 in parking lot at K-Mart swelling on bottom of right forefoot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082937 - subsided.  Plantar plate long toe right foot pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082938 - corner at mile 3.25 onto Ygnacio Valley Road and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082939 - sidewalk to mile 3.5, then switched to asphault roadway surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082940 - Increased pace, time to mile 4.25 at Pine Hollow 69 minutes.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082941 - good at Crystal Ranch Road so turned corner and did 4-mile loop.  Was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082942 - concerned that increased pressure on forefeet would cause more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082943 - swelling, burning sensation and pain on feet, expecially bottom of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082944 - right foot.  Miracle this did not happen.  Maintained fast pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082945 - uphill for a mile chasing a woman .25 miles ahead.  Caught her just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082946 - before summit.  She was young and a little overweight, which caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082947 - her to walk slow, allowing me to overtake her.  This is a very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082948 - difficult hill.  Complimented her on the effort.  Slowed down for .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082949 - mile distance through residential area.  Slowed down further going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082950 - steep downhill because both knees hurt.  At one point swerved slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082951 - left to miss an on coming car.  Right knee buckled.  This happened                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082952 - again, so slowed further and concentrated on keeping weight centered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082953 - over feet.  Turned corner onto Rolling Woods Way.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082954 - going up steep hill, and maintained to summit.  This was another good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082955 - climb.  Slowed at top, and going downhill.  Did not have another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082956 - episode of knees buckling.  Increased pace on Pine Hollow to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082957 - Valley Road for 1 mile.  Turned corner onto Ygancio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082958 - Slowed pace slightly, but after passing Crystal Ranch Road increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082959 - pace chasing another hiker.  This was young man going in same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082960 - direction but on the other side of the road.  He seemed to be a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082961 - workman carrying a tool box and a sack of supplies of some kind.  Even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082962 - with this extra weight he pulled slowly ahead.  Was fun trying to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082963 - catch him after doing Crystal Ranch Road loop.  Half-way up to Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082964 - Road had to cross to his side of the road in order to be in position                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082965 - for turning onto Cowell.  After crossing the street which is about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082966 - yards wide, and waiting for commute traffic to clear, he was then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082967 - about 100 yards ahead.  Closed the gap to maybe 75 yards, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082968 - he was tiring.  He then turned off Cowell.  Continued another .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082969 - to Treat.  Turned the corner and hiked home.  Amazing that with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082970 - significantly increased pressure on feet there was no pain at the end,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082971 - despite hiking 2 hills at fast pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082973 -  ..
082974 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082975 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082976 - Dinner - lettuce onion avocado asparagus tuna cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082977 - tomato cumcumber mushrooms, ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082979 -  ..
082980 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082984 -         ..
082985 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082986 -   32.  180201 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082987 -               0930....BP HR with Diff........................................... 139  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082988 -               0940....BP HR with Diff........................................... 132  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082989 -               0950....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082990 -               0950... 20 12480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082991 -               0950... 80 58880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082992 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082993 -               1220....miles...........  11.0  33.00  178  535 minutes temp  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082994 -               1550....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082995 -               1605....BP HR with Diff...........................................  96  75  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082996 -               1610....BP HR with Diff...........................................  98  69  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082997 -               1730... 40 29120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082998 -               2110............ 10 9650  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082999 -               2110............ 10 9240  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083000 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083001 -               2220... 20 10600 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083002 -               2220... 1000 1030000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083003 -               2330... 80 58960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083005 -  ..
083006 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 5th of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083007 - received on 180103 1428, ref SDS 78 WU6J and worn initially on 180114,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083008 - per above. ref SDS 37 1U4G  Lynflex heel cushions, received from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083009 - at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083010 - Elite orthotic inserts, since these were effective providing rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083011 - energy worn with new shoes on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083012 - worked well today.  Seemed okay for plantar plate injury, and good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083013 - rebound energy for hike rehabing PRP treatment on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083014 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083016 -  ..
083017 - There was burning sensation only until Ygnacio Valley Road, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083018 - only on bottom of right forefoot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083020 -  ..
083021 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083022 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083023 - worked pretty well.  Did not feel callous injury on right edge of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083024 - foot big toe until going uphill on Treat at mile 9.7.  Today, wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083025 - right foot long toe only on top and not on the bottom to miminize                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083026 - stressing plantar plate tear.  Worked well.  Had pain level 0 - 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083027 - along plantar plate injury right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083029 -  ..
083030 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083031 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083032 - 180105 1630. ref SDS 80 0001  Starting with 5th of 6 pair Hoka Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083033 - wide 2E shoes, received on 180103 1428, ref SDS 78 WU6J and worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083034 - initially on 180114, and with supplemental cushioning in heel 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083035 - tried on 180101, per above. ref SDS 37 UPVP  Energy better today.  Legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083036 - tired from hike yesterday, so pace slower; time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083037 - minutes.  Maintained slow pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083038 - At mile 1.50 had to stop at McDonald's and take off right shoe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083039 - sock.  Toenail on little toe was cutting into adjacent ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083040 - Changed felt cloth wrapping to separate the toes.  Continued hike, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083041 - at mile 2.25 stopped again along Clayton.  Sat on electrical box to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083042 - remove right shoe.  Just checked for misalignment of wool/felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083043 - wrapping.  There was no bulge, so put the shoe back on and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083044 - hike.  At mile 3, walking through parking lot for Hospice and Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083045 - Mike Pizza bulge in bottom right forefoot seemed to go away.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083046 - foot perfect.  Plantar plate long toe right foot pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083047 - corner at mile 3.25 onto Ygnacio Valley Road and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083048 - sidewalk to mile 3.5, then switched to asphault roadway surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083049 - Increased pace, time to mile 4.25 at Pine Hollow 70 minutes.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083050 - on Ygnacio Valley Road right knee buckled similar to hiking Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083051 - Ranch Road yesterday, per above. ref SDS 37 WPQQ  Seemed tired at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083052 - Crystal Ranch Road - likely due to warmer temperature, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083053 - did not wear coat, so did not turn corner and do 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083054 - Increased pace hiking up to summit on Ygnacio Valley Road.  Slowed a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083055 - little going downhill to Oak Grove.  Slowed pace further on Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083056 - for 1 mile to Treat.  Turned corner and maintained pace to the hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083057 - Slowed further - going uphill felt like "walking through the valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083058 - of death" - made it to the top, and completed hike, including 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083059 - look at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083061 -  ..
083062 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083063 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083064 - Dinner - lettuce onion avocado asparagus tuna cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083065 - tomato cumcumber mushrooms, cookies ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083067 -  ..
083068 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083071 -         ..
083072 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083073 -   33.  180202 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083074 -               0900....BP HR with Diff........................................... 127  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083075 -               0940....BP HR with Diff........................................... 128  75  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083076 -               0950....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083077 -               0950... 20 12500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083078 -               0950... 80 59040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083079 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083080 -               1710... 40 29160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083081 -             1 0000............ 10 9650  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083082 -             1 0000............ 10 9240  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083083 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083084 -               2050... 20 10620 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083085 -               2050... 1000 1031000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083086 -               2310... 80 59120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083088 -  ..
083089 - Hiking - none, rest body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083091 -  ..
083092 - Breakfast - cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083093 - Lunch - hamburger fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083094 - Dinner - lettuce onion avocado asparagus tuna cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083095 - tomato cumcumber mushrooms, sandwich bologna cheese, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083097 -  ..
083098 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083102 -         ..
083103 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083104 -   34.  180203 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083105 -               0925....BP HR with Diff........................................... 135  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083106 -               0940....BP HR with Diff........................................... 132  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083107 -               0950....weight.................................... 188                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083108 -               0950... 20 12520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083109 -               0950... 80 59200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083110 -               0950....1000  38000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083111 -               0950....200    3600 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083112 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083113 -          * cr 1120....miles...........  13.0  46.00  206  741 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083114 -               1520....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083115 -               1540....BP HR with Diff........................................... 116  70  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083116 -               1545....BP HR with Diff........................................... 112  71  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083117 -               1710... 40 29160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083118 -               2100............ 10 9660  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083119 -               2100............ 10 9250  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083120 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083121 -               2050... 20 10640 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083122 -               2050... 1000 1032000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083123 -               2310... 80 59280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083126 - ** cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083128 -  ..
083129 - Pain medication - took acetaminophen and ibuprofen following letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083130 - from Lauren, PCP at VAMCSF, saying there is no actual hit on HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083131 - reported on 180202 1322. ref SDS 83 JJ95  Went for 15 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083132 - nearly made it.  On 170726 1600, Doctor Tucker prescribed taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083133 - acetaminophen and to avoid NSAID medicacations like ibuprofen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083134 - naproxen. ref SDS 58 656F  Earlier research found reports that NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083135 - medications block collagen growth, shown on 170711 0628. ref SDS 57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083136 - EP4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083138 -  ..
083139 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 6th of 6 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083140 - received on 180103 1428, ref SDS 78 WU6J and worn initially on 180114,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083141 - per above. ref SDS 37 1U4G  Lynflex heel cushions, received from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083142 - at On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083143 - Elite orthotic inserts, since these were effective providing rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083144 - energy worn with new shoes on 180102, per above. ref SDS 37 G46M  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083145 - worked well today.  Seemed okay for plantar plate injury, and good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083146 - rebound energy for hike rehabing PRP treatment on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083147 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083149 -  ..
083150 - There was no burning sensation on hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083152 -  ..
083153 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083154 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083155 - worked pretty well.  Did not feel callous injury on right edge of left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083156 - foot big toe until sprinting on Oak Grove about mile 12.2, to make                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083157 - traffic light.  Today, wrapped left foot big toe and long toe, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083158 - little toe.  Wrapped right foot similarly, and long toe only on top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083159 - and not on the bottom to miminize stressing plantar plate tear.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083160 - Worked well.  Had pain level 0 - 1 along plantar plate injury right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083161 - foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083163 -  ..
083164 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083165 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083166 - 180105 1630. ref SDS 80 0001  Starting with 6th of 6 pair Hoka Bondi 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083167 - wide 2E shoes, received on 180103 1428, ref SDS 78 WU6J and worn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083168 - initially on 180114, and with supplemental cushioning in heel 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083169 - tried on 180101, per above. ref SDS 37 UPVP  Energy better today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083170 - faster pace so time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083171 - Clayton hiking on concrete sidewalk.  Turned corner at mile 3.25 onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083172 - Ygnacio Valley Road and continued on concrete sidewalk to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083173 - then switched to asphault roadway surface.  Increased pace, time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083174 - mile 4.25 at Pine Hollow 66 minutes.  Hiking on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083175 - felt strong so turned corner onto Crystal Ranch Road and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083176 - loop.  Maintained pace going uphill to summit.  Slowed to rest hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083177 - through residential area.  Slowed further going downhill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083178 - Ranch Road to avoid injury to knees.  Turned onto Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083179 - and increased pace going uphill.  Handled the hill well.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083180 - at summit, and maintained slow pace downhill to Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083181 - corner.  Increased pace on Pine Hollow back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083182 - Turned corner and hiked back to Crystal Ranch Road.  Continued uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083183 - on Ygnacio Valley Road to Cowell.  Felt good, so increased pace uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083184 - to summit.  Slowed pace going downhill on Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083185 - preven injury to knees.  Turned corner onto Oak Grove at mile 12.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083186 - mile 12.25 sprinted across intersection to make a traffic light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083187 - change.  Noticed blisters left foot both big toe and little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083188 - Called Kathy to pick me up at corner Oak Grove and Treat.  She met me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083189 - at mile 13.  This was good hike - no feet or knee pain, except                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083190 - blisters, and these are minor.  Can be fixed with better dressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083191 - tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083193 -  ..
083194 - Breakfast - ensure with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083195 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083196 - Dinner - macaroni cheese mushrooms tuna, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083198 -  ..
083199 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083203 -         ..
083204 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083205 -   35.  180204 0850..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083206 -               0920....BP HR with Diff........................................... 131  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083207 -               0940....BP HR with Diff........................................... 134  74  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083208 -               0950....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083209 -               0950... 20 12540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083210 -               0950... 80 59360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083211 -               0950....1000  39000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083212 -               0950....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083213 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083214 -               1030....miles...........  11.0  57.00  172  813 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083215 -               1350....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083216 -               1355....BP HR with Diff........................................... 103  66  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083217 -               1545....BP HR with Diff........................................... 108  57  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083218 -               1940... 40 29200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083219 -             1 0000............ 10 9660  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083220 -             1 0000............ 10 9250  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083221 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083222 -               2050... 20 10660 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083223 -               2050... 1000 1033000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083224 -               2310... 80 59440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083226 -  ..
083227 - Pain medication - took acetaminophen and ibuprofen following letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083228 - from Lauren, PCP at VAMCSF, saying there is no actual hit on HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083229 - reported on 180202 1322. ref SDS 83 JJ95  Went for 15 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083230 - nearly made it.  On 170726 1600, Doctor Tucker prescribed taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083231 - acetaminophen and to avoid NSAID medicacations like ibuprofen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083232 - naproxen. ref SDS 58 656F  Earlier research found reports that NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083233 - medications block collagen growth, shown on 170711 0628. ref SDS 57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083234 - EP4L   Tomorrow will avoid ibuprofen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083236 -  ..
083237 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 7th pair received,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083238 - 180115 1523. ref SDS 82 555H and worn initially on 180122, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083239 - ref SDS 37 VTPX  Lynflex heel cushions, received from Mark at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083240 - On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083241 - orthotic inserts, since these were effective providing rebound energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083242 - worn with new shoes on 180102, per above. ref SDS 37 G46M  This worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083243 - well today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083245 -  ..
083246 - There was no burning sensation on hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083248 -  ..
083249 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083250 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083251 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083252 - foot wrapped with white tape, to prevent blister reported yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083253 - on 180103, per above. ref SDS 37 8G6K  Placed felt/wool cloth wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083254 - around this dressing.  Wrapped other toes with felt/wool cloth strips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083255 - to maintain joint alignment during hike and protect against blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083256 - Worked well.  Did not feel callous injury on right edge of left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083257 - big toe entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083259 -  ..
083260 - New injury - new callus/blister below big toe left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083262 -  ..
083263 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083264 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083265 - 180105 1630. ref SDS 80 0001  Energy okay today, time to 1.25 miles 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083266 - minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083267 - Turned corner at mile 3.25 onto Ygnacio Valley Road and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083268 - concrete sidewalk to mile 3.5, then switched to asphault roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083269 - surface.  Increased pace, time to mile 4.25 at Pine Hollow 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083270 - Hiking on Ygnacio Valley Road felt strong so turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083271 - Crystal Ranch Road and hiked 4-mile loop.  Another hiker crossed the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083272 - street to my side, but hiked off road on a parallel dirt trail.  He                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083273 - was about 30 yards ahead at .25 miles on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083274 - Increased pace and caught him about half way up the hill at mile .5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083275 - He then overtook me at mile .6, and increased the lead to about 40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083276 - yards.  He either slowed, or I increased my pace, because maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083277 - this interval to the summit.  We continued to the residential area at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083278 - about .9 miles.  It was a fun race up the hill.  On reaching the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083279 - residential area he pulled up and opened the door to his car parked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083280 - along side the road.  I passed him before he got in.  He seemed under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083281 - 40, wore hiking boots, and had a light backpack, like training for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083282 - wilderness hike, i.e., in the mountains.  After passing the other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083283 - hiker, slowed pace to rest for completing remaining 6 miles of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083284 - hike.  Slowed further going downhill on Crystal Ranch Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083285 - injury to knees.  Turned onto Rolling Woods Way and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083286 - going uphill.  Handled the hill well.  Slowed pace at summit, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083287 - maintained slow pace downhill to Pine Hollow.  Turned corner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083288 - Increased pace on Pine Hollow back to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083289 - corner and hiked back to Crystal Ranch Road.  Continued uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083290 - Ygnacio Valley Road to Cowell.  Felt blisters occurring on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083291 - big toe and little toe, turned on Cowell and hiked back to Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083292 - on home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083294 -  ..
083295 - Breakfast - ensure with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083296 - Lunch - potato salad cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083297 - Dinner - meatloaf mashed potatoes asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083299 -  ..
083300 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083305 -         ..
083306 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083307 -   36.  180205 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083308 -               0805....BP HR with Diff........................................... 136  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083309 -               0810....BP HR with Diff........................................... 132  75  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083310 -               0820....weight.................................... 189                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083311 -               0820... 20 12560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083312 -               0820... 80 59520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083313 -               0820....1000  40000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083314 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083315 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083316 -               0940....miles...........   9.0   9.00  144  144 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083317 -               1240....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083318 -               1245....BP HR with Diff........................................... 109  70  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083319 -               1255....BP HR with Diff........................................... 112  72  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083320 -               1645... 40 29200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083321 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083322 -               2100... 20 10680 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083323 -               2120... 1000 1034000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083324 -               2230............ 10 9670  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083325 -               2230............ 10 9260  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083326 -               2340... 80 59600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083328 -  ..
083329 - Pain medication - took acetaminophen following letter from Lauren, PCP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083330 - at VAMCSF, saying there is no actual hit on HDL, reported on 180202                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083331 - 1322. ref SDS 83 JJ95  On 170726 1600, Doctor Tucker prescribed taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083332 - acetaminophen and to avoid NSAID medicacations like ibuprofen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083333 - naproxen. ref SDS 58 656F  Earlier research found reports NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083334 - medications block collagen growth, shown on 170711 0628. ref SDS 57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083335 - EP4L  Since collagen protects joints, and transforms into cartelage to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083336 - repair metatarsalgia in the feet and osteoarthritis in the knees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083337 - today avoided ibuprofen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083339 -  ..
083340 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 1st pair received,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083341 - 180115 1523. ref SDS 82 555H and worn initially on 180122, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083342 - ref SDS 37 VTPX  Lynflex heel cushions, received from Mark at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083343 - On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083344 - orthotic inserts, since these were effective providing rebound energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083345 - worn with new shoes on 180102, per above. ref SDS 37 G46M  This worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083346 - well today, however, blister developed yesterday, reported on 180104,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083347 - per above, ref SDS 37 PE7O, got worse today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083349 -  ..
083350 - There was no burning sensation on hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083352 -  ..
083353 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083354 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083355 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083356 - foot wrapped with white tape, to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083357 - per above. ref SDS 37 8G6K  Also applied protective gel on new blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083358 - below big toe on left foot that occurred yesterday, on 180204, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083359 - above. ref SDS 37 PE7O  Placed felt/wool cloth wrap around this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083360 - dressing.  Wrapped other toes with felt/wool cloth strips to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083361 - joint alignment during hike and protect against blisters.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083362 - well on toes, and callus on big toe, but did not work well on callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083363 - below big toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083365 -  ..
083366 - New callus/blister below big toe left foot got worse today.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083367 - hike, so popped the blister and drained fluid.  Applied Neosporin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083368 - antiseptic.  Need better dressing scheme tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083370 -  ..
083371 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083372 - do extra 1 mile at the end.  Rehab orthopedic treatment PRP injections                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083373 - on 180105 1630. ref SDS 80 0001  Energy okay today, time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083374 - 18 minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083375 - Energy drained wearing coat and 2 shirts with temperature hitting 70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083376 - Having abrasion from shirt rubbing left nipple.  Slowed pace.  Called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083377 - Kathy to meet at gas station on Pine Hollow and Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083378 - with Gold Bond Friction application.  Turned corner at mile 3.25 onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083379 - Ygnacio Valley Road and continued on concrete sidewalk to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083380 - then switched to asphault roadway surface.  Maintained pace, time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083381 - mile 4.25 at Pine Hollow 68 minutes.  Met Kathy at Texaco gas station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083382 - Applied Gold Bond to prevent abrasions.  Gave her the coat and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083383 - shirt.  Continued on Ygnacio Valley Road.  At Crystal Ranch Road felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083384 - blister below callus on left foot big toe, so did not turn corner to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083385 - do additional 4-mile loop.  Pain from blister seemed to back off, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083386 - increased pace going uphill on Ygnacio Valley Road to summit for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083387 - 11-mile hike, rather than turn onto Cowell for 7-mile hike.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083388 - pace going downhill.  Blister on left foot below big toe expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083389 - increased pain level 3.  Called Kathy to meet at Treat and Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083390 - On reaching Oak Grove pain reduced and felt strong.  Increased pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083391 - actually ran most of Oak Grove and in order to meet Kathy at 1200, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083392 - could leave for Sacramento in time to pick up Simone, Victoria and Mia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083393 - from school.  Just blocked out pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083395 -  ..
083396 - Breakfast - ensure with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083397 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083398 - Dinner - meatloaf macaroni and cheese asparagus tuna mushrooms, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083400 -  ..
083401 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083405 -         ..
083406 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083407 -   37.  180206 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083408 -               0840....BP HR with Diff........................................... 130  79  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083409 -               0845....BP HR with Diff........................................... 131  79  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083410 -               0900....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083411 -               0900... 20 12580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083412 -               0900... 80 59680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083413 -               0900....1000  40000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083414 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083415 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083416 -               1250....miles...........  11.0  20.00  179  326 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083417 -               1240....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083418 -               1630....BP HR with Diff...........................................  98  68  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083419 -               1645....BP HR with Diff........................................... 100  67  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083420 -               1820... 40 29240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083421 -             1 0000............ 10 9670  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083422 -             1 0000............ 10 9260  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083423 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083424 -               2110... 20 10700 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083425 -               2110... 1000 1035000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083426 -               2240... 80 59760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083428 -  ..
083429 - Pain medication - took acetaminophen following letter from Lauren, PCP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083430 - at VAMCSF, saying there is no actual hit on HDL, reported on 180202                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083431 - 1322. ref SDS 83 JJ95  On 170726 1600, Doctor Tucker prescribed taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083432 - acetaminophen and to avoid NSAID medicacations like ibuprofen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083433 - naproxen. ref SDS 58 656F  Earlier research found reports NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083434 - medications block collagen growth, shown on 170711 0628. ref SDS 57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083435 - EP4L  Since collagen protects joints, and transforms into cartelage to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083436 - repair metatarsalgia in the feet and osteoarthritis in the knees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083437 - today avoided ibuprofen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083439 -  ..
083440 - Shoes - Hoka Bondi 5 Wide 2E size 9.5 shoes - wore 1st pair received,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083441 - 180115 1523. ref SDS 82 555H and worn initially on 180122, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083442 - ref SDS 37 VTPX  Lynflex heel cushions, received from Mark at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083443 - On-the-Run on 171229 1010, ref SDS 76 ZE7K, under both Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083444 - orthotic inserts, since these were effective providing rebound energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083445 - worn with new shoes on 180102, per above. ref SDS 37 G46M  This worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083446 - well today, however, blister developed yesterday, reported on 180104,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083447 - per above, ref SDS 37 PE7O, got worse today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083449 -  ..
083450 - There was no burning sensation on right foot edge for about 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083451 - Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083453 -  ..
083454 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083455 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083456 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083457 - foot wrapped with white tape, to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083458 - per above. ref SDS 37 8G6K  Placed felt/wool cloth wrap around this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083459 - dressing.  Wrapped other toes with felt/wool cloth strips to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083460 - joint alignment during hike and protect against blisters.  Worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083461 - on toes, and callus on big toe left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083463 -  ..
083464 - Blister below big toe left foot developed on 180204, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083465 - ref SDS 37 PE7O - new dressing scheme by cutting circular pads and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083466 - doubling to isolate injury.  Held pads in position with white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083467 - This work partially.  After hike, blister bubbled so popped the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083468 - blister and drained fluid again.  Applied Neosporin antiseptic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083470 -  ..
083471 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083472 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083473 - 180105 1630. ref SDS 80 0001  Energy okay today, at mile .5 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083474 - forefoot pain level 2.  Bottom both feet seem swollen, maybe collagen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083475 - from PRP. time to 1.25 miles 18 minutes.  Maintained moderate pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083476 - Clayton hiking on concrete sidewalk.  Dressing on blister left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083477 - okay so far.  On Clayton at mile 2 burning sensation bottom of right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083478 - foot edge.  At mile 3.2 bottom right foot okay.  Left foot dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083479 - blister holding up fine.  Turned corner at mile 3.25 and slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083480 - due to rising heat onto Ygnacio Valley Road and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083481 - sidewalk to mile 3.5, then switched to asphault roadway surface.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083482 - Maintained slow pace, time to mile 4.25 at Pine Hollow 70 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083483 - Continued slow pace on Ygnacio Valley Road.  At Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083484 - feeling blister below callus on left foot big toe, so did not turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083485 - corner to do additional 4-mile loop.  Blister only pain level 2, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083486 - increased pace going uphill on Ygnacio Valley Road to summit for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083487 - 11-mile hike, rather than turn onto Cowell for 7-mile hike.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083488 - pace going downhill because planta plate injury right foot expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083489 - pain level 2.  Blister on left foot below big toe expressed increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083490 - pain level 3.  Turned corner and maintained pace on Oak Grove for 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083491 - mile.  Turned onto Treat and ignored pain.  Endorfins may have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083492 - decreased pain on left foot blister and right foot plantar plate tear,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083493 - so increased pace going uphill on Treat, and maintained to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083494 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083496 -  ..
083497 - Breakfast - few bites cream of wheat with hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083498 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083499 - Dinner - meatloaf potato salad avocado asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083501 -  ..
083502 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083507 -         ..
083508 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083509 -   38.  180207 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083510 -               0820....BP HR with Diff........................................... 141  75  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083511 -               0825....BP HR with Diff........................................... 130  70  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083512 -               0830....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083513 -               0830... 20 12600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083514 -               0830... 80 59840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083515 -               0830... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083516 -               0000....1000  40000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083517 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083518 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083519 -          * cr 1230....miles...........  11.0  31.00  173  499 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083520 -               1600....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083521 -               1615....BP HR with Diff........................................... 101  62  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083522 -               1640....BP HR with Diff........................................... 109  68  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083523 -               1832... 40 29240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083524 -               2130............ 10 9680  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083525 -               2130............ 10 9270  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083526 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083527 -               2230... 20 10720 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083528 -               2230... 1000 1036000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083529 -               2340... 80 59920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083531 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083533 -  ..
083534 - Pain medication - trying hydrocodone today for hiking 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083536 -  ..
083537 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083538 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083539 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083540 - foot wrapped with white tape, to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083541 - per above. ref SDS 37 8G6K  Placed felt/wool cloth wrap around this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083542 - dressing.  Wrapped other toes with felt/wool cloth strips to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083543 - joint alignment during hike and protect against blisters.  Worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083544 - on toes, and callus on big toe, but still felt blister on ring toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083545 - left foot about mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083547 -  ..
083548 - Blister below big toe left foot that occurred on 180204, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083549 - ref SDS 37 PE7O - new dressing scheme by cutting circular pads and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083550 - doubling to isolate injury; added padding blister area between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083551 - semi-circle pads with lambs wool.  This worked pretty well.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083552 - feel pressure on the blister so enabled hiking Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083553 - Began feeling pressure about mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083555 -  ..
083556 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083557 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083558 - 180105 1630. ref SDS 80 0001  Energy okay today, at mile .5 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083559 - forefoot pain level 2.  Did not feel bottom both feet swollen, maybe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083560 - collagen from PRP.  Time to 1.25 miles 18 minutes.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083561 - moderate pace on Clayton hiking on concrete sidewalk.  Dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083562 - blister left foot okay so far.  At mile 3.2 bottom right foot okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083563 - Left foot dressing on blister holding up fine.  Turned corner at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083564 - 3.25 and maintained pace.  Doesn't seem real hot.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083565 - concrete sidewalk to mile 3.5, then switched to asphault roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083566 - surface.  Maintained pace, time to mile 4.25 at Pine Hollow 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083567 - minutes.  Continued on Ygnacio Valley Road.  At Crystal Ranch Road was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083568 - not feeling blister below callus on left foot big toe, nor any other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083569 - issues, so turned corner and hiked additional 4-mile loop.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083570 - good pace uphill for about a mile.  No injury problems.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083571 - slowed pace to rest doing flat grade.  Slowed further going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083572 - to prevent knee injuries.  Turned corner on Rolling Woods Way and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083573 - increased pace going up steep hill .25 miles.  Felt plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083574 - injury, so reduced speed.  Slowed further going downhill to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083575 - injury to knees.  Increased speed on Pine Hollow to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083576 - Road.  On reaching Crystal Ranch road began feeling blisters left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083577 - so turned on Cowell for 11 mile hike.  Increased pace hiking uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083578 - from Crystal Ranch Road to Cowell, then slowed going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083579 - Cowell to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083581 -  ..
083582 - Breakfast - few bites cream of wheat with hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083583 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083584 - Dinner - lettuce cumcumbers avocado salmon mushrooms tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083585 - fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083587 -  ..
083588 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083592 -         ..
083593 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083594 -   39.  180208 0910..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083595 -               1000....BP HR with Diff........................................... 135  77  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083596 -               1015....BP HR with Diff........................................... 134  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083597 -               1020....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083598 -               1020... 20 12620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083599 -               1020... 80 60000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083600 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083601 -               1020....1000  41000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083602 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083603 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083604 -          * cr 1300....miles...........  11.0  42.00  174  673 minutes temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083605 -               1620....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083606 -               1630....BP HR with Diff........................................... 101  73  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083607 -               1640....BP HR with Diff........................................... 113  73  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083608 -               1710... 40 29280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083609 -             1 0000............ 10 9680  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083610 -             1 0000............ 10 9270  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083611 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083612 -               2010... 20 10740 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083613 -               2030... 1000 1037000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083614 -               2150... 80 60080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083616 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083618 -  ..
083619 - Pain medication - trying acetaminophen today.  Hydrocodone did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083620 - get us 15 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083622 -  ..
083623 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083624 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083625 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083626 - foot wrapped with white tape, to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083627 - per above. ref SDS 37 8G6K  Placed felt/wool cloth wrap around this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083628 - dressing.  Wrapped other toes with felt/wool cloth strips to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083629 - joint alignment during hike and protect against blisters.  Still felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083630 - blister on left foot ring toe at mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083632 -  ..
083633 - Blister below big toe left foot that occurred on 180204, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083634 - ref SDS 37 PE7O - new dressing scheme by cutting circular pads and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083635 - doubling to isolate injury; added padding blister area between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083636 - semi-circle pads with lambs wool.  This worked pretty well.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083637 - feel pressure on the blister so enabled hiking Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083638 - Began feeling pressure about mile 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083640 -  ..
083641 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083642 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083643 - 180105 1630. ref SDS 80 0001  Energy low today, time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083644 - minutes.  Maintained moderate pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083645 - sidewalk.  Dressing on blister left foot okay so far.  At mile 3.2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083646 - bottom right foot okay.  Left foot dressing on blister holding up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083647 - fine.  Turned corner at mile 3.25 and maintained pace.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083648 - concrete sidewalk to mile 3.5, then switched to roadway asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083649 - surface.  Maintained pace, time to mile 4.25 at Pine Hollow 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083650 - minutes.  Continued on Ygnacio Valley Road.  At Crystal Ranch Road was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083651 - not feeling blister below callus on left foot big toe, nor any other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083652 - issues, so turned corner and hiked additional 4-mile loop.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083653 - good pace uphill for about a mile.  No injury problems.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083654 - slowed pace to rest doing flat grade.  Slowed further going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083655 - to prevent knee injuries.  Turned corner on Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083656 - encountered woman coming down Crystal Ranch Road and crossing Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083657 - Woods Way.  Increased pace going up steep hill .25 miles.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083658 - plantar plate injury pain level 1.  Maintained speed to top of summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083659 - Slowed pace going downhill to avoid injury to knees.  Increased speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083660 - on Pine Hollow to Ygnacio Valley Road.  On reaching Crystal Ranch road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083661 - began feeling blisters left foot so turned on Cowell for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083662 - Increased pace hiking uphill from Crystal Ranch Road to Cowell, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083663 - slowed going downhill on Cowell to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083665 -  ..
083666 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083667 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083668 - Dinner - potato salad avocado tomato hot dog, cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083669 - fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083671 -  ..
083672 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083676 -         ..
083677 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083678 -   40.  180209 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083679 -               0910....BP HR with Diff........................................... 131  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083680 -               0915....BP HR with Diff........................................... 126  74  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083681 -               0920....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083682 -               0920... 20 12640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083683 -               0920... 80 60160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083684 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083685 -               0000....1000  41000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083686 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083687 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083688 -          * cr 1300....miles...........  11.0  53.00  178  851 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083689 -               1605....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083690 -               1610....BP HR with Diff........................................... 108  77 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083691 -               1615....BP HR with Diff........................................... 102  68  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083692 -               1710... 40 29320 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083693 -               1950............ 10 9690  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083694 -               1950............ 10 9280  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083695 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083696 -               2020... 20 10760 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083697 -               2030... 1000 1038000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083698 -               2210... 80 60240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083700 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083702 -  ..
083703 - Pain medication - trying none today.  Neither acetaminophen nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083704 - hydrocodone did not get 15 miles past 2 days.  Seemed okay during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083705 - hike.  Didn't feel terrible several hours after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083707 -  ..
083708 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083709 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083710 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083711 - foot wrapped with white tape, to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083712 - per above. ref SDS 37 8G6K  Placed felt/wool cloth wrap around this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083713 - dressing.  Wrapped other toes with felt/wool cloth strips to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083714 - joint alignment during hike and protect against blisters.  Still felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083715 - blister on left foot ring toe at mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083717 -  ..
083718 - Blister below big toe left foot that occurred on 180204, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083719 - ref SDS 37 PE7O - new dressing scheme by cutting circular pads and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083720 - doubling to isolate injury; added padding blister area between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083721 - semi-circle pads with lambs wool.  This worked well.  Did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083722 - pressure on the blister so enabled hiking Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083724 -  ..
083725 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083726 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083727 - 180105 1630. ref SDS 80 0001  Energy low today, time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083728 - minutes.  Maintained moderate pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083729 - sidewalk.  Dressing on blister left foot okay so far.  At mile 3.2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083730 - bottom right foot okay.  Left foot dressing on blister holding up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083731 - fine.  Turned corner at mile 3.25 and maintained pace.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083732 - concrete sidewalk to mile 3.5, then switched to roadway asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083733 - surface.  Maintained pace, time to mile 4.25 at Pine Hollow 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083734 - minutes.  Continued on Ygnacio Valley Road.  At Crystal Ranch Road was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083735 - not feeling blister below callus on left foot big toe, nor any other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083736 - issues, so turned corner and hiked additional 4-mile loop.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083737 - good pace uphill for about a mile.  No injury problems.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083738 - slowed pace to rest doing flat grade.  Slowed further going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083739 - to prevent knee injuries.  Turned corner on Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083740 - encountered woman coming down Crystal Ranch Road and crossing Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083741 - Woods Way.  Increased pace going up steep hill .25 miles.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083742 - plantar plate injury pain level 1.  Maintained speed to top of summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083743 - Slowed pace going downhill to avoid injury to knees.  Increased speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083744 - on Pine Hollow to Ygnacio Valley Road.  On reaching Crystal Ranch road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083745 - began feeling blisters left foot so turned on Cowell for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083746 - Increased pace hiking uphill from Crystal Ranch Road to Cowell, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083747 - slowed going downhill on Cowell to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083749 -  ..
083750 - Breakfast - cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083751 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083752 - Dinner - lettuce cumcumbers avocado salmon mushrooms tomato onion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083753 - chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083755 -  ..
083756 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083760 -         ..
083761 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083762 -   41.  180210 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083763 -               0830....BP HR with Diff........................................... 121  73  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083764 -               0835....BP HR with Diff........................................... 123  73  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083765 -               0850....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083766 -               0850... 20 12660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083767 -               0850... 80 60320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083768 -               0850... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083769 -               0000....1000  41000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083770 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083771 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083772 -          * cr 1110....miles...........  13.0  64.00  206 1057 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083773 -               1505....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083774 -               1520....BP HR with Diff........................................... 107  74  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083775 -               1530....BP HR with Diff........................................... 116  80  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083776 -               1640... 40 29360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083777 -             1 0000............ 10 9690  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083778 -             1 0000............ 10 9280  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083779 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083780 -               1940... 20 10780 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083781 -               2000... 1000 1039000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083782 -               2050... 80 60400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083784 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083786 -  ..
083787 - Pain medication - hydrocodone took for 15 miles.  Only made 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083788 - due to blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083790 -  ..
083791 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083792 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083793 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083794 - foot wrapped with white tape, to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083795 - per above. ref SDS 37 8G6K  Placed felt/wool cloth wrap around this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083796 - dressing.  Wrapped other toes with felt/wool cloth strips to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083797 - joint alignment during hike and protect against blisters.  Still felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083798 - blister on left foot ring toe at mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083800 -  ..
083801 - Blister below big toe left foot that occurred on 180204, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083802 - ref SDS 37 PE7O - new dressing scheme by cutting circular pads and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083803 - doubling to isolate injury; added padding blister area between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083804 - semi-circle pads with lambs wool.  This worked well.  Did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083805 - pressure on the blister so enabled hiking Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083807 -  ..
083808 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083809 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083810 - 180105 1630. ref SDS 80 0001  Energy low today, time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083811 - minutes.  Maintained moderate pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083812 - sidewalk.  Dressing on blister left foot okay so far.  At mile 3.2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083813 - bottom right foot okay.  Left foot dressing on blister holding up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083814 - fine.  Turned corner at mile 3.25 and maintained pace.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083815 - concrete sidewalk to mile 3.5, then switched to roadway asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083816 - surface.  Maintained pace, time to mile 4.25 at Pine Hollow 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083817 - minutes.  Continued on Ygnacio Valley Road.  At Crystal Ranch Road was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083818 - not feeling blister below callus on left foot big toe, nor any other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083819 - issues, so turned corner and hiked additional 4-mile loop.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083820 - good pace uphill for about a mile.  No injury problems.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083821 - slowed pace to rest doing flat grade.  Slowed further going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083822 - to prevent knee injuries.  Turned corner on Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083823 - encountered woman coming down Crystal Ranch Road and crossing Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083824 - Woods Way.  Increased pace going up steep hill .25 miles.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083825 - plantar plate injury pain level 1.  Maintained speed to top of summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083826 - Slowed pace going downhill to avoid injury to knees.  Increased speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083827 - on Pine Hollow to Ygnacio Valley Road.  On reaching Crystal Ranch road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083828 - blisters left foot did not seem too bad, so increased speed hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083829 - up hill to summit.  Slowed pace going downhill on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083830 - to Oak Grove.  Blisters on left foot worse, so called Kathy.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083831 - another mile on Oak Grove to Treat.  Kathy met me and we drove home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083832 - Could barely walk getting out of the car.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083834 -  ..
083835 - Breakfast - cherrios milk with hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083836 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083837 - Dinner - meatloaf asparagus mashed potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083839 -  ..
083840 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083844 -         ..
083845 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083846 -   42.  180211 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083847 -               0755....BP HR with Diff........................................... 133  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083848 -               0810....BP HR with Diff........................................... 132  77  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083849 -               0815....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083850 -               0815... 20 12680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083851 -               0815... 80 60480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083852 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083853 -               0000....1000  41000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083854 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083855 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083856 -          * cr 0930....miles...........  11.0  77.00  173 1230 minutes temp  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083857 -               1250....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083858 -               1255....BP HR with Diff........................................... 117  65  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083859 -               1300....BP HR with Diff........................................... 117  63  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083860 -               1820... 40 29400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083861 -               2010............ 10 9700  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083862 -               2010............ 10 9290  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083863 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083864 -               2130... 20 10800 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083865 -               2150... 1000 1040000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083866 -               2220... 80 60560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083868 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083870 -  ..
083871 - Pain medication - none.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083873 -  ..
083874 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083875 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083876 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083877 - foot wrapped with white tape, to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083878 - per above. ref SDS 37 8G6K  Placed felt/wool cloth wrap around this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083879 - dressing.  Wrapped other toes with felt/wool cloth strips to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083880 - joint alignment during hike and protect against blisters.  Still felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083881 - blister on left foot ring toe at mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083883 -  ..
083884 - Blister below big toe left foot that occurred on 180204, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083885 - ref SDS 37 PE7O - seems healed, so did not apply dressing today.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083886 - worked well - blister did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083888 -  ..
083889 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083890 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083891 - 180105 1630. ref SDS 80 0001  Energy low today, time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083892 - minutes.  Maintained moderate pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083893 - sidewalk.  Dressing on blister left foot okay so far.  At mile 3.2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083894 - bottom right foot okay.  Left foot dressing on blister holding up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083895 - fine.  Turned corner at mile 3.25 and maintained pace.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083896 - concrete sidewalk to mile 3.5, then switched to roadway asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083897 - surface.  Maintained pace, time to mile 4.25 at Pine Hollow 68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083898 - minutes.  Continued on Ygnacio Valley Road.  At Crystal Ranch Road was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083899 - not feeling blister below callus on left foot big toe, nor any other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083900 - issues, so turned corner and hiked additional 4-mile loop.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083901 - good pace uphill for about a mile.  No injury problems.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083902 - slowed pace to rest doing flat grade.  Slowed further going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083903 - to prevent knee injuries.  Turned corner on Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083904 - encountered woman coming down Crystal Ranch Road and crossing Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083905 - Woods Way.  Increased pace going up steep hill .25 miles.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083906 - plantar plate injury pain level 1.  Maintained speed to top of summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083907 - Slowed pace going downhill to avoid injury to knees.  Increased speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083908 - on Pine Hollow to Ygnacio Valley Road.  On reaching Crystal Ranch road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083909 - blisters left foot were flaring up, so hiked uphill to Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083910 - turned right.  Slowed pace going downhill on Cowell to flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083911 - ground, then increased pace rest of way home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083913 -  ..
083914 - Breakfast - cherrios milk with hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083915 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083916 - Dinner - lettuce tomato asparagus cumcumber carrots mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083917 - avocado, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083919 -  ..
083920 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083923 -         ..
083924 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083925 -   43.  180212 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083926 -               0830....BP HR with Diff........................................... 137  80  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083927 -               0810....BP HR with Diff........................................... 136  75  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083928 -               0815....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083929 -               0815... 20 12700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083930 -               0815... 80 60640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083931 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083932 -               0000....1000  41000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083933 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083934 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083935 -               1050....miles...........  11.0  11.00  174  174 minutes temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083936 -               1410....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083937 -               1420....BP HR with Diff........................................... 130  76  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083938 -               1430....BP HR with Diff........................................... 119  74  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083939 -               1600... 40 29440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083940 -             1 0000............ 10 9700  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083941 -             1 0000............ 10 9290  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083942 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083943 -               2040... 20 10820 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083944 -               2100... 1000 1041000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083945 -               2240... 80 60720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083947 -  ..
083948 - Pain medication - none.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083950 -  ..
083951 - Blood pressure before and after hiking seems to have increased past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083952 - few days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083954 -  ..
083955 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083956 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083957 - worked pretty well.  Applied protective gel on edge of big toe left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083958 - foot wrapped with white tape, to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083959 - per above. ref SDS 37 8G6K  Placed felt/wool cloth wrap around this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083960 - dressing.  Wrapped other toes with felt/wool cloth strips to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083961 - joint alignment during hike and protect against blisters.  Still felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083962 - blister on left foot ring toe at mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083964 -  ..
083965 - Double socks - tried today.  Seemed to work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083967 -  ..
083968 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083969 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083970 - 180105 1630. ref SDS 80 0001  Energy low today, time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083971 - minutes.  Maintained moderate pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083972 - sidewalk.  Dressing on blister left foot okay so far.  At mile 3.2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083973 - bottom right foot okay.  Left foot dressing on blister holding up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083974 - fine.  Turned corner at mile 3.25 and maintained pace.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083975 - concrete sidewalk to mile 3.5, then switched to roadway asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083976 - surface.  Called Kathy - she left the house hiking 1.5 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083977 - and then up Cowell Road to meet at Ygancio Valley Road.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083978 - pace - time to mile 4.25 at Pine Hollow 65 minutes.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083979 - Ygnacio Valley Road past Crystal Ranch at fast pace.  No injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083980 - problems.  Going uphill saw Kathy at Cowell crossing Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083981 - Road.  Joined her about 30 seconds later.  Took picture to commemorate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083982 - her first hike on Cowell.  She said it was like hiking up the first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083983 - hill at Lafayette Road.  Kathy hiked on Cowell downhill back to Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083984 - and the house.  Continued hike uphill to the summit on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083985 - Road.  Going downhill slowed pace because began feeling blisters on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083986 - left foot little toe and ring toe.  Moderate pace on Oak Grove to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083987 - Treat.  Increased pace going uphill on Treat and maintained to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083988 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083990 -  ..
083991 - Breakfast - cream of wheat ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083992 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083993 - Dinner - stew (roast beef potatoes celery asparagus carrots onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083994 - gravy), cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083996 -  ..
083997 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084001 -         ..
084002 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084003 -   44.  180213 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084004 -               0910....BP HR with Diff........................................... 126  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084005 -               0930....BP HR with Diff........................................... 126  74  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084006 -               0935....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084007 -               0935... 20 12720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084008 -               0935... 80 60800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084009 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084010 -               0000....1000  41000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084011 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084012 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084013 -         * cr  1240....miles...........  11.0  22.00  172  346 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084014 -               1555....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084015 -               1610....BP HR with Diff........................................... 103  75  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084016 -               1630....BP HR with Diff........................................... 117  68  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084017 -               1810... 40 29480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084018 -               2100............ 10 9710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084019 -               2100............ 10 9300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084020 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084021 -               2040... 20 10840 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084022 -               2100... 1000 1042000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084023 -               2240... 80 60880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084025 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084027 -  ..
084028 - Pain medication - none.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084030 -  ..
084031 - Blood pressure suddenly better today, before and after hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084033 -  ..
084034 - Wrapped toes both feet wool/felt to maintain spacing, so toes are not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084035 - squeezed out of alignment from tighting shoe laces and hiking.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084036 - worked pretty well.  Wrapped left foot to protect blister reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084037 - 180103, per above. ref SDS 37 8G6K  Omitted wrapping little toes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084038 - relied on wrap on ring toe to prevent blister with little toe.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084039 - worked on right foot but not left foot.  For some reason doubled wrap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084040 - on right foot big toe.  At mile 4.25 had to stop and remove shoe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084041 - sock to remove 1 level so there was only 1 wrap.  Rest of hike went                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084042 - well, except little toe left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084044 -  ..
084045 - Double socks - tried today.  Seemed to work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084047 -  ..
084048 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084049 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084050 - 180105 1630. ref SDS 80 0001  Energy good, calfs pain level 2; time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084051 - to 1.25 miles 18 minutes.  Maintained moderate pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084052 - on concrete sidewalk.  At mile 3.2 bottom right foot okay.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084053 - dressing on blister holding up fine.  Turned corner at mile 3.25 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084054 - maintained pace.  Continued on concrete sidewalk to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084055 - switched to roadway asphault surface.  Maintained pace, time to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084056 - 4.25 at Pine Hollow 66 minutes.  Continued on Ygnacio Valley Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084057 - Crystal Ranch Road was not feeling blister below callus on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084058 - big toe, nor any other issues, so turned corner and hiked additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084059 - 4-mile loop.  Maintained good pace uphill for about a mile.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084060 - half way up felt right foot plantar plate injury pain level 2 - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084061 - not get worse, so maintained pace.  At summit slowed pace to rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084062 - doing flat grade.  Slowed further going downhill to prevent knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084063 - injuries.  Turned corner on Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084064 - up steep hill .25 miles.  Felt plantar plate injury pain level 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084065 - Maintained speed to top of summit.  Slowed pace going downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084066 - avoid injury to knees.  Increased speed on Pine Hollow to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084067 - Valley Road.  On reaching Crystal Ranch road blister left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084068 - toe flared up, so hiked uphill to Cowell and turned right.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084069 - pace going downhill on Cowell to flatter ground, then increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084070 - rest of way home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084072 -  ..
084073 - Breakfast - cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084074 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084075 - Dinner - potato salad asparagus meatloaf, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084077 -  ..
084078 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084082 -         ..
084083 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084084 -   45.  180214 0900..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084085 -               0920....BP HR with Diff........................................... 141  79  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084086 -               0940....BP HR with Diff........................................... 136  86  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084087 -               0945....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084088 -               0945... 20 12740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084089 -               0945... 80 60960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084090 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084091 -               0000....1000  41000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084092 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084093 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084094 -         * cr  1250....miles...........  11.0  33.00  175  521 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084095 -               1520....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084096 -               1530....BP HR with Diff........................................... 116  63  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084097 -               1545....BP HR with Diff........................................... 105  60  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084098 -               1640... 40 29520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084099 -             1 0000............ 10 9710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084100 -             1 0000............ 10 9300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084101 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084102 -               2040... 20 10860 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084103 -               2100... 1000 1043000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084104 -               2240... 80 61040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084106 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084108 -  ..
084109 - Pain medication - none.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084111 -  ..
084112 - Blood pressure suddenly worse before hiking; normal after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084114 -  ..
084115 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084116 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084117 - hiking.  Wrapped left foot to protect blister reported on 180103, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084118 - above. ref SDS 37 8G6K  Omitted wrapping little toes, but added lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084119 - wool left foot between little toe and ring toe.  This worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084120 - today.  Omitted double wrap on right foot bit toe that caused problem                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084121 - yesterday, per above. ref SDS 37 6N6L  Pain level 5 forced stopping at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084122 - mile 4.5 along Ygnacio Valley Road and remove right shoe and socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084123 - Could not see adjustment to relieve pressure on plantar plate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084124 - Replaced sock and was able to hike Crystal Ranch Road and other hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084126 -  ..
084127 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084128 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084129 - 180105 1630. ref SDS 80 0001  Energy good, calfs pain level 2; time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084130 - to 1.25 miles 18 minutes.  Maintained moderate pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084131 - on concrete sidewalk.  At mile 2.5 bottom right foot pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084132 - Left foot dressing on blister holding up fine.  Turned corner at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084133 - 3.25 and maintained pace.  Plantar plate bottom right foot pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084134 - 2.  Continued on concrete sidewalk to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084135 - roadway asphault surface.  Maintained pace, time to mile 4.25 at Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084136 - Hollow 67 minutes.  Continued on Ygnacio Valley Road, but at Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084137 - Commons entrance to Cal State College plantar plate right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084138 - level 5, so stopped and sat on guardrail at corner to remove shoe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084139 - double socks.  Could not see anything to change to replaced socks and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084140 - shoe, and continued hike.  At Crystal Ranch Road was not feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084141 - blister below callus on left foot big toe, nor any other issues, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084142 - turned corner and hiked additional 4-mile loop.  Maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084143 - uphill for about a mile.  About half way up felt right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084144 - plate injury pain level 2 - did not get worse, so maintained pace.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084145 - summit slowed pace to rest doing flat grade.  Slowed further going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084146 - downhill to prevent knee injuries.  Turned corner on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084147 - Way.  Increased pace going up steep hill .25 miles.  Felt plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084148 - plate injury pain level 3.  Maintained speed to top of summit.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084149 - pace going downhill to avoid injury to knees.  Increased speed on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084150 - Hollow to Ygnacio Valley Road.  On reaching Crystal Ranch road blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084151 - left foot little toe did not flare up.  Felt fagigued to turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084152 - Cowel and hiked home.  Slowed pace going downhill on Cowell to flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084153 - ground, then increased pace rest of way home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084155 -  ..
084156 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084157 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084158 - Dinner - lettuce brocolli onion mushrooms tomato avocado meatloaf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084160 -  ..
084161 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084165 -         ..
084166 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084167 -   46.  180215 0815..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084168 -               0900....BP HR with Diff........................................... 123  75  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084169 -               0910....BP HR with Diff........................................... 141  81  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084170 -               0930....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084171 -               0930... 20 12760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084172 -               0930... 80 61020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084173 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084174 -               0000....1000  41000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084175 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084176 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084177 -         * cr  1200....miles...........  11.0  44.00  173  694 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084178 -               1510....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084179 -               1530....BP HR with Diff........................................... 117  74  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084180 -               1535....BP HR with Diff........................................... 119  67  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084181 -               1650... 40 29520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084182 -               1930............ 10 9720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084183 -               1930............ 10 9310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084184 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084185 -               2030... 20 10880 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084186 -               2040... 1000 1044000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084187 -               2120... 80 61100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084189 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084191 -  ..
084192 - Pain medication - none.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084194 -  ..
084195 - Blood pressure suddenly worse before hiking, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084197 -  ..
084198 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084199 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084200 - hiking.  Did not wrap left foot to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084201 - per above. ref SDS 37 8G6K  Wrapped left foot ring toe and middle toe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084202 - and omitted wrapping under long toe.  Added lambs wool left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084203 - between little toe and ring toe.  This worked well today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084204 - right foot bit toe that caused problem yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084205 - ref SDS 37 6N6L  Wrapped ring toe, middle toe and above long toe, same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084206 - as left foot.  Right foot pain level 3 stopped at mile 4.5 along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084207 - Ygnacio Valley Road and removed right shoe and socks.  Could not see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084208 - adjustment to relieve pressure on plantar plate.  Massaged foot for 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084209 - seconds or so.  Replaced sock and was able to hike Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084210 - and other hills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084212 -  ..
084213 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084214 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084215 - 180105 1630. ref SDS 80 0001  Energy good, calfs pain level 2; time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084216 - to 1.25 miles 18 minutes.  Maintained moderate pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084217 - on concrete sidewalk.  At mile 2.5 bottom right foot pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084218 - Left foot dressing on blister holding up well.  Turned corner at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084219 - 3.25 and maintained pace.  Plantar plate bottom right foot pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084220 - 2.  Continued on concrete sidewalk to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084221 - roadway asphault surface.  Maintained pace, time to mile 4.25 at Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084222 - Hollow 68 minutes.  Stopped and removed right shoe but not socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084223 - because by feel there were no lumps from misaligned wool cloth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084224 - wrapping.  Massaged ball of foot through socks and replaced shoe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084225 - Continued on Ygnacio Valley Road, At Crystal Ranch Road was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084226 - feeling blister below callus on left foot big toe, nor any other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084227 - issues, so turned corner and hiked additional 4-mile loop.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084228 - good pace uphill for about a mile.  No pressure from plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084229 - injury pain level 0 - 1.  Nearing summit at storm drain 6 increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084230 - pace to summit, and maintained to guard rail; then slowed pace to rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084231 - doing flat grade.  Slowed further going downhill to prevent knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084232 - injuries.  Turned corner on Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084233 - up steep hill .25 miles.  Did not feel plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084234 - 0.  Maintained speed to top of summit.  Slowed pace going downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084235 - avoid injury to knees.  Increased speed on Pine Hollow to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084236 - Valley Road.  On reaching Crystal Ranch road blister left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084237 - toe did not flare up.  Felt stronger than yesterday, but turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084238 - Cowel and hiked home.  Slowed pace going downhill on Cowell to flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084239 - ground, then increased pace rest of way home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084241 -  ..
084242 - Breakfast - cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084243 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084244 - Dinner - lettuce brocolli onion mushrooms tomato avocado beets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084245 - potatoes roast beef celery, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084247 -  ..
084248 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084252 -         ..
084253 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084254 -   47.  180216 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084255 -               0910....BP HR with Diff........................................... 135  77  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084256 -               0910....BP HR with Diff........................................... 135  71  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084257 -               0930....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084258 -               0930... 20 12780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084259 -               0930... 80 61180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084260 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084261 -               0930....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084262 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084263 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084264 -         * cr  1240....miles...........  11.0  55.00  168  862 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084265 -               1550....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084266 -               1605....BP HR with Diff........................................... 108  64  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084267 -               1630....BP HR with Diff........................................... 118  69  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084268 -               1840... 40 29560 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084269 -             1 0000............ 10 9720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084270 -             1 0000............ 10 9310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084271 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084272 -               2100... 20 10900 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084273 -               2130... 1000 1045000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084274 -               2220... 80 61260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084276 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084278 -  ..
084279 - Pain medication - trying acetaminophen for pain bottom right foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084280 - reported past few days, per above. ref SDS 37 AB8L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084282 -  ..
084283 - Blood pressure better today, especially after hiking and avoiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084284 - pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084286 -  ..
084287 - Double socks - left foot lambs wool between little toe and ring toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084288 - and between ring toe and middle toe.  Worked well - still had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084289 - remove right foot she and massage bottom forefoot at mile 4.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084290 - After that hiked Crystal Ranch Road 4-mile loop well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084292 -  ..
084293 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084294 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084295 - 180105 1630. ref SDS 80 0001  Energy good, calfs pain level 2; time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084296 - to 1.25 miles 18 minutes.  Maintained moderate pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084297 - on concrete sidewalk.  Mile 2 calfs both legs pain level 0.  Double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084298 - socks prevented pain left foot blister on big toe, and lambs wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084299 - between little toe and ring toe prevented pain.  Turned corner at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084300 - 3.25 and maintained pace.  Plantar plate bottom right foot pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084301 - 1.  Continued on concrete sidewalk to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084302 - roadway asphault surface.  Maintained pace, time to mile 4.25 at Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084303 - Hollow 69 minutes.  Stopped and removed right shoe but not socks, due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084304 - to pain level 3.  Massaged ball of foot through socks and replaced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084305 - shoe.  Continued on Ygnacio Valley Road.  At Crystal Ranch Road was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084306 - not feeling blister below callus on left foot big toe, nor any other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084307 - issues, so turned corner and hiked additional 4-mile loop.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084308 - good pace uphill for about a mile.  Pressure from plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084309 - pain level 0 - 1.  Nearing summit at storm drain 6 increased pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084310 - summit, and maintained to guard rail; then slowed pace to rest doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084311 - flat grade.  Slowed further going downhill to prevent knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084312 - Turned corner on Rolling Woods Way.  Increased pace going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084313 - hill .3 miles.  Did not feel plantar plate injury pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084314 - Maintained speed to top of summit.  Slowed pace going downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084315 - avoid injury to knees.  Increased speed on Pine Hollow to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084316 - Valley Road.  On reaching Crystal Ranch road felt like electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084317 - shock in metatarsals right foot pain level 5, for about 50 feet, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084318 - subsided.  Blister left foot little toe did not flare up.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084319 - strong, but turned onto Cowel and hiked home.  Slowed pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084320 - downhill on Cowell to flatter ground, then increased pace rest of way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084321 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084323 -  ..
084324 - Breakfast - cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084325 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084326 - Dinner - stew (potatoes roast beef celery carots asparagus), chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084327 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084329 -  ..
084330 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084334 -         ..
084335 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084336 -   48.  180217 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084337 -               0940....BP HR with Diff........................................... 142  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084338 -               0950....BP HR with Diff........................................... 142  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084339 -               0955....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084340 -               0955... 20 12800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084341 -               0955... 80 61340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084342 -               0955... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084343 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084344 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084345 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084346 -         * cr  1110....miles...........  15.0  70.00  236 1098 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084347 -               1540....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084348 -               1550....BP HR with Diff........................................... 115  83  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084349 -               1600....BP HR with Diff........................................... 115  64  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084350 -               1700... 40 29600 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084351 -               2100............ 10 9730  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084352 -               2100............ 10 9320  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084353 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084354 -               2100... 20 10920 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084355 -               2130... 1000 1046000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084356 -               2220... 80 61420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084358 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084360 -  ..
084361 - Pain medication - trying hydrocodone (actually Norco) today, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084362 - acetaminophen did not work well yesterday, per above. ref SDS 37 XSVY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084363 - Additionally, Doctor Tucker prescribed not taking NSAID medications,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084364 - because this line of care restricts blood flow, which is essential for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084365 - PRP treatment.  Acetaminophen is not an NSAID, but does not work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084366 - Hydrocodone is also not NSAID, but works very well.  It is a pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084367 - which can get hung up above LESV, but does not cause ulceration, like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084368 - naproxen did 2 years ago after Half Dome.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084370 -  ..
084371 - Blood pressure little better today, before hiking.  Seems conflicting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084372 - with increased hiking.  Will try reducing gastrointestinal drugs this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084373 - evening.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084375 -  ..
084376 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084377 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084378 - hiking.  Did not wrap left foot to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084379 - per above. ref SDS 37 8G6K  Wrapped left foot ring toe and middle toe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084380 - and omitted wrapping under long toe.  Added lambs wool left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084381 - between little toe and ring toe.  This worked well today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084382 - right foot big toe that caused problem yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084383 - ref SDS 37 6N6L  Wrapped ring toe, middle toe and above long toe, same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084384 - as left foot.  Worked well; minimal pain entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084386 -  ..
084387 - Blister recurred left foot below big toe, previously reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084388 - 180206, per above. ref SDS 37 WUUT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084390 -  ..
084391 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084392 - ref SDS 22 HG3F  Energy okay starting with good pace because minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084393 - pain in calfs; time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084394 - Clayton.  Time to 4.25 miles 63 minutes.  Increased pace on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084395 - Valley Road.  At Crystal Ranch Road turned left and did 4 mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084396 - Maintained pace going uphill.  Taking hydrocodone pill today, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084397 - effective.  Good pace going uphill Rolling Woods Way - maintained up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084398 - to summit.  Going downhill Rolling Woods Way to Pine Hollow slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084399 - pace to prevent injury to knees.  Increased pace on Pine Hollow for 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084400 - mile back to Ygnacio Valley Road.  Turned onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084401 - At mile 9 felt what seemed like electrical shocks in metatarsals right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084402 - foot.  Lasted about 50 yards, pain level 4, then subsided to level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084403 - After completing 4 mile loop, on Ygnacio Valley Road back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084404 - Ranch Road, both knees and both feet seemed okay, so continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084405 - Ygnacio Valley Road and increased pace to top of summit.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084406 - going downhill to Oak Grove.  Good pace on Oak Grove, and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084407 - Treat.  Increased pace going uphill on Treat, and to the end of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084408 - hike, including 1 mile around Cuneo, Kaski, and Cowell, back to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084409 - Still had energy, and felt well at end of 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084411 -  ..
084412 - Breakfast - cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084413 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084414 - Dinner - lettuce brocolli onion asparagus mushrooms tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084415 - beets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084417 -  ..
084418 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084423 -         ..
084424 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084425 -   49.  180218 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084426 -               0840....BP HR with Diff........................................... 140  79  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084427 -               0910....BP HR with Diff........................................... 137  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084428 -               0915....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084429 -               0915... 20 12820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084430 -               0915... 80 61480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084431 -               0915... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084432 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084433 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084434 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084435 -               1310....miles...........  10.0  80.00  163 1261 minutes temp  58 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084436 -               1630....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084437 -               1640....BP HR with Diff........................................... 120  70  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084438 -               1645....BP HR with Diff........................................... 112  62  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084439 -               1700... 40 29640 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084440 -             1 0000............ 10 9730  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084441 -             1 0000............ 10 9320  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084442 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084443 -               0000... 20 10920 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084444 -               0000... 1000 1046000 Calcium Carbonate Tums (200 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084445 -               2220... 80 61560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084447 -  ..
084448 - Pain medication - hydrocodone, seemed to help after an hour or so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084449 - into the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084451 -  ..
084452 - Blood pressure little better today, before hiking.  Seems conflicting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084453 - with increased hiking.  Will try omitting gastrointestinal drugs this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084454 - evening.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084456 -  ..
084457 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084458 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084459 - hiking.  Did not wrap left foot to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084460 - per above. ref SDS 37 8G6K  Wrapped left foot ring toe and middle toe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084461 - and omitted wrapping under long toe.  Added lambs wool left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084462 - between little toe and ring toe.  This worked well today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084463 - right foot big toe that caused problem yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084464 - ref SDS 37 6N6L  Wrapped ring toe, middle toe and above long toe, same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084465 - as left foot.  Worked well; minimal pain entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084467 -  ..
084468 - Blister recurred left foot below big toe, previously reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084469 - 180206, per above. ref SDS 37 WUUT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084471 -  ..
084472 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084473 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084474 - 180105 1630. ref SDS 80 0001  Energy good, slow pace because calfs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084475 - pain level 2; time to 1.25 miles 19 minutes.  Maintained slow pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084476 - Clayton hiking on concrete sidewalk.  Mile 1.5 right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084477 - plate pain level 5.  calfs both legs pain level 0.  Double socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084478 - prevented pain left foot blister on big toe, and lambs wool between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084479 - little toe and ring toe prevented pain.  Mile 2.8 plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084480 - right foot pain level 1 - hydrocodone treatment taking effect.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084481 - corner at mile 3.25 and maintained pace slow pace, because very strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084482 - West wind.  Plantar plate bottom right foot pain level 1.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084483 - on concrete sidewalk to mile 3.5, then switched to roadway asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084484 - surface.  Time to mile 4.24 70 minutes.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084485 - Road.  At Crystal Ranch Road was not feeling blister below callus on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084486 - left foot big toe, nor any other issues, but did not turn corner to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084487 - hike additional 4-mile loop because of heavy wind.  Maintained slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084488 - pace agaist wind going uphill on Ygnacio Valley Road to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084489 - Continued slow pace going downhill due to wind.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084490 - Oak Grove and hiked 1 mile to Treat.  Turned onto Treat.  Westerly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084491 - wind helped hiking East on Treat, but left shoe heel slipping, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084492 - blister below big toe on left foot was slipping.  Going uphill had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084493 - stop to tighten left shoe laces trying to prevent blister on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084494 - heel.  On reaching Cuneo did not hike additional mile around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084495 - block, so ended hike at 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084497 -  ..
084498 - Breakfast - cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084499 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084500 - Dinner - eggs sausage lettuce brocolli onion asparagus mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084501 - tomato avocado, cookies milk, bologna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084504 -  ..
084505 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084509 -         ..
084510 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084511 -   50.  180219 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084512 -               0915....BP HR with Diff........................................... 127  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084513 -               0920....BP HR with Diff........................................... 130  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084514 -               0940....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084515 -               0940... 20 12840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084516 -               0940... 80 61640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084517 -               0940... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084518 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084519 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084520 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084521 -          * cr 1315....miles...........  11.0  11.00  172  172 minutes temp  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084522 -               1640....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084523 -               1650....BP HR with Diff........................................... 112  68  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084524 -               1700....BP HR with Diff........................................... 118  67  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084525 -               1740... 40 29640 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084526 -               2020............ 10 9740  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084527 -               2020............ 10 9330  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084528 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084529 -               2150... 20 10940 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084530 -               2210... 1000 1047000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084531 -               2250... 80 61720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084533 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084535 -  ..
084536 - Pain medication - hydrocodone, seemed to help yesterday, after an hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084537 - or so into the hike; will try again today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084539 -  ..
084540 - Blood pressure much better today, before and after hiking after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084541 - omitting gastrointestinal drugs last night. ref SDS 37 TC4J  Did this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084542 - again this evening, because did not experience reflux without extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084543 - medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084545 -  ..
084546 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084547 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084548 - hiking.  Did not wrap left foot to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084549 - per above. ref SDS 37 8G6K  Wrapped left foot ring toe and middle toe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084550 - and omitted wrapping under long toe.  Added lambs wool left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084551 - between little toe and ring toe.  This worked well today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084552 - right foot big toe that caused problem yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084553 - ref SDS 37 6N6L  Wrapped ring toe, middle toe and above long toe, same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084554 - as left foot.  Worked well; minimal pain entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084556 -  ..
084557 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, doubled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084558 - dressing thickness with 2 semicircle pads and lambs wool held in place                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084559 - with white tape.  Worked somewhat - need better solution tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084561 -  ..
084562 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084563 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084564 - 180105 1630. ref SDS 80 0001  Energy good, calfs pain level 2; time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084565 - to 1.25 miles 18 minutes.  Maintained moderate pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084566 - on concrete sidewalk.  Mile 2 calfs both legs pain level 0.  Double                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084567 - socks prevented pain left foot blister on big toe, and lambs wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084568 - between little toe and ring toe prevented pain.  Turned corner at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084569 - 3.25 and maintained pace.  Plantar plate bottom right foot pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084570 - 1.  Continued on concrete sidewalk to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084571 - roadway asphault surface.  Maintained pace, time to mile 4.25 at Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084572 - Hollow 69 minutes.  Stopped and removed right shoe but not socks, due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084573 - to pain level 3.  Massaged ball of foot through socks and replaced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084574 - shoe.  Continued on Ygnacio Valley Road.  At Crystal Ranch Road was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084575 - not feeling blister below callus on left foot big toe, nor any other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084576 - issues, so turned corner and hiked additional 4-mile loop.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084577 - good pace uphill for about a mile.  Pressure from plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084578 - pain level 0 - 1.  Nearing summit at storm drain 6 increased pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084579 - summit, and maintained to guard rail; then slowed pace to rest doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084580 - flat grade.  Slowed further going downhill to prevent knee injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084581 - Turned corner on Rolling Woods Way.  Increased pace going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084582 - hill .3 miles.  Did not feel plantar plate injury pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084583 - Maintained speed to top of summit.  Slowed pace going downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084584 - avoid injury to knees.  Increased speed on Pine Hollow to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084585 - Valley Road.  On reaching Crystal Ranch road felt like electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084586 - shock in metatarsals right foot pain level 5, for about 50 feet, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084587 - subsided.  Blister left foot little toe did not flare up.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084588 - strong, but turned onto Cowel and hiked home.  Slowed pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084589 - downhill on Cowell to flatter ground, then increased pace rest of way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084590 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084592 -  ..
084593 - Breakfast - cherrios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084594 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084595 - Dinner - stew (potatoes roast beef celery carots asparagus), chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084597 -  ..
084598 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084602 -         ..
084603 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084604 -   51.  180220 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084605 -               0830....BP HR with Diff........................................... 134  79  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084606 -               0850....BP HR with Diff........................................... 131  81  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084607 -               0900....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084608 -               0900... 20 12860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084609 -               0900... 80 61800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084610 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084611 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084612 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084613 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084614 -               1330....miles...........  11.0  22.00  174  346 minutes temp  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084615 -               1645....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084616 -               1700....BP HR with Diff........................................... 111  77  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084617 -               1700....BP HR with Diff........................................... 115  79  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084618 -               1735... 40 29680 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084619 -             1 0000............ 10 9740  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084620 -             1 0000............ 10 9330  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084621 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084622 -               0000... 20 10940 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084623 -               0000... 1000 1047000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084624 -               2210... 80 61880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084626 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084628 -  ..
084629 - Pain medication - none today.  Right foot plantar plate hurt 1st half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084630 - of hike, so skipped Crystal Ranch Road 4-mile loop.  Handled Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084631 - Valley Road uphill to summit well without pain, and rest of 11 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084632 - hike too.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084634 -  ..
084635 - Blood pressure worse today, before hiking after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084636 - gastrointestinal drugs last night. ref SDS 37 PH3F  Took drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084637 - night, because dinner with stew and later eating chips caused evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084638 - gastric distress.  This evening skipped calcium carbonate and mylanta.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084640 -  ..
084641 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084642 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084643 - hiking.  Did not wrap left foot to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084644 - per above. ref SDS 37 8G6K  Wrapped left foot ring toe and middle toe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084645 - and omitted wrapping under long toe.  Omitted lambs wool left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084646 - between little toe and ring toe.  This worked well today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084647 - right foot big toe that caused problem yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084648 - ref SDS 37 6N6L  Wrapped ring toe, middle toe and above long toe, same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084649 - as left foot.  Worked well; minimal pain entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084651 -  ..
084652 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, doubled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084653 - dressing thickness with 2 semicircle pads and lambs wool held in place                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084654 - with white tape.  Worked somewhat - need better solution tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084656 -  ..
084657 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084658 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084659 - 180105 1630. ref SDS 80 0001  Energy good, fast pace because calfs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084660 - pain level 0; time to 1.25 miles 18 minutes.  Slowed pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084661 - hiking on concrete sidewalk.  Mile 1.5 right foot plantar plate pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084662 - level 3.  calfs both legs pain level 2.  Double socks, dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084663 - blister left foot below big toe, and felt/wool cloth wrapping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084664 - prevented pain little toe and ring toe.  Mile 2.8 plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084665 - right foot pain level 3 because no hydrocodone medication today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084666 - Turned corner at mile 3.25 continued on concrete sidewalk to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084667 - then switched to roadway asphault surface.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084668 - pain level 4 - seems to be increasing, so maintain slow pace; thinking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084669 - of doing only 7 miles.  Time to mile 4.24 69 minutes.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084670 - Ygnacio Valley Road.  At Crystal Ranch Road was not feeling blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084671 - below callus on left foot big toe, but right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084672 - still pain level 4, so skipped doing Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084673 - Maintained slow pace going uphill on Ygnacio Valley Road.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084674 - that if plantar plate injury pain level worsens will turn on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084675 - for 7 mile hike.  Pain stopped going uphill, so continued past Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084676 - and increased pace hiking up to summit.  Slowed pace only slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084677 - going downhill for 1.5 miles to reduce pressure on knees.  Noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084678 - left heel was slippingg like 2-days ago, per above. ref SDS 37 TC4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084679 - Turned corner onto Oak Grove and increased pace for 1 mile to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084680 - Turned onto Treat.  Left shoe heel continued slipping, and blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084681 - below big toe on left foot was slipping.  Going uphill increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084682 - because blisters did not feel bad, and plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084683 - 0.  Endorphins may have masked pain.  On reaching Cuneo hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084684 - additional mile around the block, so ended hike at 11 miles.  2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084685 - half of hike was very good despite no hydrocodone, so may try this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084686 - again tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084688 -  ..
084689 - Breakfast - cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084690 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084691 - Dinner - potato salad hot dog rest of meatloaf avocado tomato,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084692 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084694 -  ..
084695 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084699 -         ..
084700 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084701 -   52.  180221 0910..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084702 -               0950....BP HR with Diff........................................... 139  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084703 -               1000....BP HR with Diff........................................... 130  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084704 -               1010....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084705 -               1010... 20 12880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084706 -               1010... 80 61960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084707 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084708 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084709 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084710 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084711 -          * cr 1320....miles...........  11.0  33.00  173  519 minutes temp  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084712 -               1645....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084713 -               1650....BP HR with Diff........................................... 116  79  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084714 -               1705....BP HR with Diff........................................... 117  72  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084715 -               1740... 40 29720 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084716 -               2050............ 10 9750  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084717 -               2050............ 10 9340  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084718 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084719 -               0000... 20 10940 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084720 -               0000... 1000 1047000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084721 -               2230... 80 62040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084723 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084725 -  ..
084726 - Pain medication - none today.  Right foot plantar plate and right leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084727 - hamstring hurt 1st half of hike, but did Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084728 - loop anyway.  Did not feel any pain going uphill including Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084729 - Woods Way, and back to the house for 11-mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084731 -  ..
084732 - Blood pressure worse today, before hiking after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084733 - gastrointestinal drugs last night. ref SDS 37 PH3F  Took drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084734 - night, because dinner with stew and later eating chips caused evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084735 - gastric distress.  This evening skipped calcium carbonate and mylanta.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084737 -  ..
084738 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084739 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084740 - hiking.  Did not wrap left foot to protect blister reported on 180103,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084741 - per above. ref SDS 37 8G6K  Wrapped left foot ring toe and middle toe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084742 - and omitted wrapping under long toe.  Omitted lambs wool left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084743 - between little toe and ring toe.  This worked well today.  Wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084744 - right foot big toe that caused problem yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084745 - ref SDS 37 6N6L  Wrapped ring toe, middle toe and above long toe, same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084746 - as left foot.  Worked well; minimal pain entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084748 -  ..
084749 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, doubled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084750 - dressing thickness with 2 semicircle pads and lambs wool held in place                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084751 - with white tape.  Worked somewhat - need better solution tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084753 -  ..
084754 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084755 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084756 - 180105 1630. ref SDS 80 0001  Energy good, fast pace because calfs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084757 - pain level 0; time to 1.25 miles 18 minutes.  Slowed pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084758 - hiking on concrete sidewalk.  Mile 1.5 right foot plantar plate pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084759 - level 3.  calfs both legs pain level 2.  Double socks, dressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084760 - blister left foot below big toe, and felt/wool cloth wrapping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084761 - prevented pain little toe and ring toe.  Mile 2.8 plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084762 - right foot pain level 3 because no hydrocodone medication today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084763 - Turned corner at mile 3.25 continued on concrete sidewalk to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084764 - then switched to roadway asphault surface.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084765 - pain level 4 - seems to be increasing, so maintain slow pace; thinking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084766 - of doing only 7 miles.  Time to mile 4.24 69 minutes.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084767 - Ygnacio Valley Road.  At Crystal Ranch Road was not feeling blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084768 - below callus on left foot big toe, but right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084769 - still pain level 4, so skipped doing Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084770 - Maintained slow pace going uphill on Ygnacio Valley Road.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084771 - that if plantar plate injury pain level worsens will turn on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084772 - for 7 mile hike.  Pain stopped going uphill, so continued past Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084773 - and increased pace hiking up to summit.  Slowed pace only slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084774 - going downhill for 1.5 miles to reduce pressure on knees.  Noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084775 - left heel was slippingg like 2-days ago, per above. ref SDS 37 TC4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084776 - Turned corner onto Oak Grove and increased pace for 1 mile to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084777 - Turned onto Treat.  Left shoe heel continued slipping, and blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084778 - below big toe on left foot was slipping.  Going uphill increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084779 - because blisters did not feel bad, and plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084780 - 0.  Endorphins may have masked pain.  On reaching Cuneo hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084781 - additional mile around the block, so ended hike at 11 miles.  2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084782 - half of hike was very good despite no hydrocodone, so may try this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084783 - again tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084785 -  ..
084786 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084787 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084788 - Dinner - lettuce tomato cucumber brocolli avocado onion, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084790 -  ..
084791 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084795 -         ..
084796 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084797 -   53.  180222 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084798 -               0950....BP HR with Diff........................................... 136  78  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084799 -               0955....BP HR with Diff........................................... 140  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084800 -               1000....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084801 -               1000... 20 12900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084802 -               1000... 80 62120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084803 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084804 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084805 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084806 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084807 -          * cr 1055....miles...........  11.0  44.00  171  690 minutes temp  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084808 -               1405....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084809 -               1420....BP HR with Diff........................................... 118  70  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084810 -               1430....BP HR with Diff........................................... 119  70  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084811 -               1615... 40 29760 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084812 -             1 0000............ 10 9750  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084813 -             1 0000............ 10 9340  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084814 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084815 -               2010... 20 10960 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084816 -               2030... 1000 1048000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084817 -               2150... 80 62200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084819 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084821 -  ..
084822 - Blood draw after hike at Quest on East Street, reported in another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084823 - record on 180222 1500. ref SDS 84 RP4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084825 -  ..
084826 - Pain medication - none.  Planned to take hydrocodone, but after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084827 - deciding to get blood draw, did not take medication in order to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084828 - influencing the labs.  This was one of best hikes ever.  There were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084829 - few occasions when right foot plantar plate pain level 1 occurred, if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084830 - that.  Mainly pain level 0.  Could not believe it.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084832 -  ..
084833 - Blood pressure still elevated today, before hiking despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084834 - gastrointestinal drugs last night. ref SDS 37 5T3G  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084835 - after hiking not great, but reflects cold temperatuer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084837 -  ..
084838 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084839 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084840 - hiking.  Worked well today until mile 10, began feeling movement of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084841 - feet in relation to cloth wrapping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084843 -  ..
084844 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084845 - single thickness round pad, and did not cut in half.  Placed lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084846 - wool held over the blister area and applied white tape.  Worked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084847 - well today.  Blister bubble did not recur after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084849 -  ..
084850 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084851 - 1 mile at the end.  Rehab orthopedic treatment PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084852 - 180105 1630. ref SDS 80 0001  Energy good, fast pace because calfs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084853 - pain level 0; time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084854 - Clayton hiking on concrete sidewalk.  Mile 1.5 right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084855 - plate pain level 0.  calfs both legs pain level 0.  Double socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084856 - dressing on blister left foot below big toe, and felt/wool cloth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084857 - wrapping prevented pain little toe and ring toe.  Mile 2.8 plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084858 - plate injury right foot pain level 0 despite no hydrocodone medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084859 - today.  Turned corner at mile 3.25 continued on concrete sidewalk to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084860 - mile 3.5, then switched to roadway asphault surface.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084861 - plantar plate pain level 0.  Time to mile 4.24 67 minutes.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084862 - on Ygnacio Valley Road.  At Crystal Ranch Road felt good, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084863 - corner and hiked 4-mile loop.  Maintained fast pace against slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084864 - wind going uphill.  Took 14 minutes to summit.  Slowed pace to rest,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084865 - and to protect knees going downhill.  Turned corner on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084866 - Way.  Increased pace hiking .35 miles up steep hill - took 5 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084867 - to the top.  Slowed pace going downhill.  Turned onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084868 - increased pace back to Ygnacio Valley Road.  Turned corner - felt like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084869 - going for 15 miles today.  On reaching Crystal Ranch road felt like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084870 - feet were beginning to move in the shoes, which can cause blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084871 - Turned onto Cowell and hiked home.  Slowed pace going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084872 - Cowell to flatter ground, then increased pace rest of way home.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084873 - mile 10.3 going down Cowell feet began hurting, so helpful did not go                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084874 - for 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084876 -  ..
084877 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084878 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084879 - Dinner - lettuce tomato cucumber brocolli avocado onion hot dog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084880 - cottage cheese, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084882 -  ..
084883 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084887 -         ..
084888 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084889 -   54.  180223 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084890 -               0900....BP HR with Diff........................................... 130  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084891 -               0920....BP HR with Diff........................................... 136  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084892 -               0950....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084893 -               0950... 20 12920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084894 -               0950... 80 62380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084895 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084896 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084897 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084898 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084899 -          * cr 1215....miles...........  11.0  55.00  168  858 minutes temp  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084900 -               1525....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084901 -               1540....BP HR with Diff........................................... 108  68  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084902 -               1550....BP HR with Diff........................................... 117  70  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084903 -               1640... 40 29800 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084904 -               2010............ 10 9760  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084905 -               2010............ 10 9350  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084906 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084907 -               2120... 20 10980 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084908 -               2130... 1000 1049000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084909 -               2240... 80 62460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084911 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084913 -  ..
084914 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084915 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084917 -  ..
084918 - Pain medication - none.  Another good hike.  Mainly pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084919 - Few times burning sensation right foot on Clayton.  No pain issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084920 - hiking Crystal Ranch Road and back to house.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084922 -  ..
084923 - Blood pressure better today, before hiking despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084924 - gastrointestinal drugs last night. ref SDS 37 276O  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084925 - after hiking better despite cold temperature; may reflect faster pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084927 -  ..
084928 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084929 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084930 - hiking.  Worked well today entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084932 -  ..
084933 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084934 - single thickness round pad, and did not cut in half.  Placed lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084935 - wool held over the blister area and applied white tape.  Worked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084936 - well today.  Blister bubble did not recur after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084938 -  ..
084939 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084940 - 1 mile at the end.  Starting slow pace low energy; calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084941 - 2; time to 1.25 miles 19 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084942 - on concrete sidewalk.  Mile 2.8 burning sensation right foot; plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084943 - plate injury right foot pain level 0 despite no hydrocodone medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084944 - today.  Turned corner at mile 3.25 continued on concrete sidewalk to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084945 - mile 3.5, then switched to roadway asphault surface.  Time to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084946 - 4.25 66 minutes.  Continued on Ygnacio Valley Road.  At Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084947 - Road turned corner and hiked 4-mile loop.  Maintained fast pace with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084948 - slight wind going uphill.  At summit slowed pace to rest.  Slower pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084949 - going downhill to protect knees.  Turned corner onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084950 - Way.  Increased pace hiking .35 miles up steep hill.  Slowed pace at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084951 - summit and going downhill.  Turned onto Pine Hollow and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084952 - back to Ygnacio Valley Road.  Turned corner and hiked on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084953 - Valley Road.  Felt stronger so increased pace back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084954 - road and uphill to Cowell.  Turned onto Cowell and hiked home.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084955 - have injured right foot heel.  Slowed pace going downhill on Cowell to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084956 - flatter ground, then increased pace rest of way home.  Good hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084958 -  ..
084959 - Breakfast - cherrios milk chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084960 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084961 - Dinner - lettuce tomato cucumber brocolli salmon avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084962 - cheddar cheese, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084964 -  ..
084965 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084968 -         ..
084969 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084970 -   55.  180224 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084971 -               0920....BP HR with Diff........................................... 135  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084972 -               0930....BP HR with Diff........................................... 139  78  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084973 -               0940....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084974 -               0940... 20 12940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084975 -               0940... 80 62540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084976 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084977 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084978 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084979 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084980 -          * cr 1320....miles...........  11.0  66.00  171 1029 minutes temp  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084981 -               1640....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084982 -               1650....BP HR with Diff........................................... 112  76  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084983 -               1705....BP HR with Diff........................................... 115  66  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084984 -               1750... 40 29840 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084985 -             1 0000............ 10 9760  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084986 -             1 0000............ 10 9350  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084987 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084988 -               0000... 20 10980 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084989 -               0000... 1000 1049000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084990 -               2240... 80 62620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084992 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084994 -  ..
084995 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084996 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084998 -  ..
084999 - Weight finally below 180 again, first time since 171214, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085000 - ref SDS 37 ZV6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085002 -  ..
085003 - Pain medication - none.  Another good hike.  Mainly pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085004 - Few times burning sensation right foot on Clayton.  No pain issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085005 - hiking Crystal Ranch Road and back to house.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085007 -  ..
085008 - Blood pressure worse today, before hiking after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085009 - gastrointestinal drugs last night. ref SDS 37 496H  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085010 - after hiking should be lower; reflects low temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085012 -  ..
085013 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085014 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085015 - hiking.  Worked well today entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085017 -  ..
085018 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085019 - single thickness round pad, and did not cut in half.  Placed lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085020 - wool held over the blister area and applied white tape.  Worked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085021 - well today.  Blister bubble did not recur after hike - seems to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085022 - healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085024 -  ..
085025 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085026 - 1 mile at the end.  Starting okay strong West wind at back going East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085027 - on Treat; time to 1.25 miles 18 minutes.  Maintained fast pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085028 - Clayton hiking on concrete sidewalk.  Mile 2.8 burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085029 - foot; plantar plate injury right foot pain level 0 despite no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085030 - hydrocodone medication today.  Turned corner at mile 3.25 continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085031 - concrete sidewalk to mile 3.5, then switched to roadway asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085032 - surface.  Only moderate, cold West wind hiking West.  Time to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085033 - 4.25 64 minutes.  Continued on Ygnacio Valley Road hiking into much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085034 - stronger West wind.  At Crystal Ranch Road turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085035 - 4-mile loop.  Maintained fast pace with strong cross-wind going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085036 - uphill.  At summit slowed pace to rest.  Slower pace going downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085037 - protect knees.  Turned corner onto Rolling Woods Way.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085038 - hiking .35 miles up steep hill; wind not factor because of surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085039 - hills and houses.  Slowed pace at summit and going downhill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085040 - onto Pine Hollow and increased pace back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085041 - Turned corner and hiked on Ygnacio Valley Road.  Cold, West wind much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085042 - stronger.  Felt stronger so increased pace against strong wind back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085043 - Crystal Ranch road and uphill to Cowell.  Decided not to fight against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085044 - wind going over summit on Ygnacio Valley Road, so turned onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085045 - and hiked home.  Did not feel right foot heel that occurred yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085046 - Slowed pace going downhill on Cowell to flatter ground, then increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085047 - pace rest of way home.  Good hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085049 -  ..
085050 - Breakfast - cherrios milk chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085051 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085052 - Dinner - lettuce tomato cucumber brocolli salmon avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085053 - cheddar cheese, fritos bologna cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085055 -  ..
085056 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085060 -         ..
085061 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085062 -   56.  180225 0900..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085063 -               0930....BP HR with Diff........................................... 147  78  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085064 -               0935....BP HR with Diff........................................... 138  80  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085065 -               0940....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085066 -               0940... 20 12960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085067 -               0940... 80 62700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085068 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085069 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085070 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085071 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085072 -               1120....miles...........   7.0  73.00  111 1140 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085073 -               1310....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085074 -               1320....BP HR with Diff........................................... 122  71  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085075 -               1840... 40 29880 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085076 -               1900... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085077 -               2020............ 10 9770  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085078 -               2020............ 10 9360  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085079 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085080 -               2130... 20 11000 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085081 -               2140... 1000 1050000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085082 -               2240... 80 62780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085084 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085086 -  ..
085087 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085088 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085090 -  ..
085091 - Pain medication - none.  Another good hike.  Mainly pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085092 - Few times burning sensation right foot on Clayton.  No pain issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085093 - hiking Crystal Ranch Road and back to house.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085095 -  ..
085096 - Blood pressure worse today, before hiking despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085097 - gastrointestinal drugs last night. ref SDS 37 EW4I  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085098 - after hiking should be lower; reflects low temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085100 -  ..
085101 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085102 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085103 - hiking.  Trying new wrapping scheme.  Did not work well, had to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085104 - several times to adjust shoes and socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085106 -  ..
085107 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085108 - single thickness round pad, and did not cut in half.  Placed lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085109 - wool held over the blister area and applied white tape.  Worked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085110 - well today.  Blister bubble did not recur after hike - seems to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085111 - healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085113 -  ..
085114 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085115 - 1 mile at the end.  Starting okay good energy; weather perfect,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085116 - sunshine no clouds nor wind; time to 1.25 miles 18 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085117 - Maintained fast pace on Clayton hiking on concrete sidewalk.  Mile 2.2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085118 - pressure bottom right foot.  Had to stop and sit on electrical box to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085119 - remove right shoe.  Could not feel cloth toe wrapping in wrong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085120 - position, so replaced shoe and continued hike.  Okay for another .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085121 - miles, but then pressure recurred.  Turned corner at mile 3.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085122 - continued on concrete sidewalk and feeling pressure on bottom right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085123 - foot so slowed pace.  Hiked to mile 3.5, then switched to roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085124 - asphault surface.  Time to mile 4.25 68 minutes.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085125 - Valley Road hiking with pressure on bottom of right foot.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085126 - Campus Drive mile 4.75.  Sat on guardrail post to remove right shoe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085127 - Pushed clump of felt cloth from bottom of foot up to toes.  Replaced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085128 - shoe and this relieved pressure.  Continued on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085129 - Kathy called and reported her GM Captiva (2015) car exhibited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085130 - performance problems similar to Powertrain Control Module (PCM)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085131 - failure that occurred to her Ford Escape when we were driving through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085132 - Oakland on highway 80, reported on 121024 1038. ref SDS 16 Y46J  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085133 - will call AAA for tow to Concord Cheverolet.  I will hike home, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085134 - drive to Concord Cheverolet to bring her home.  At Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085135 - did not turn corner and hiked 4-mile loop.  Maintained fast pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085136 - Ygnacio Valley Road.  Turned onto Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085138 -  ..
085139 - Breakfast - cherrios milk chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085140 - Lunch - half hamburger fries (few) onion tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085141 - Dinner - spaghetti squash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085143 -  ..
085144 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085148 -         ..
085149 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085150 -   57.  180226 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085151 -               0740....BP HR with Diff........................................... 136  76  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085152 -               0745....BP HR with Diff........................................... 133  75  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085153 -               0750....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085154 -               0800... 20 12980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085155 -               0800... 80 62860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085156 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085157 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085158 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085159 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085160 -               1540... 40 29920 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085161 -             1 0000............ 10 9770  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085162 -             1 0000............ 10 9360  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085163 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085164 -               2010... 20 11020 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085165 -               2020... 1000 1060000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085166 -               2050... 80 62940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085168 -  ..
085169 - Hiking - none, rest - drive to Sacramento for EGD dilation tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085170 - at VA Medical Center.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085172 -  ..
085173 - Breakfast - eggs hamburger toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085174 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085175 - Dinner - spaghetti squash, peach pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085177 -  ..
085178 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085182 -         ..
085183 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085184 -   58.  180227 0610..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085185 -               0750....BP HR with Diff........................................... 130  63  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085186 -               0750....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085187 -               0000... 20 12980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085188 -               0000... 80 62860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085189 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085190 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085191 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085192 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085193 -               1120... 40 29960 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085194 -               1830... 40 30000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085195 -               2050............ 10 9780  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085196 -               2050............ 10 9370  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085197 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085198 -               2200... 20 11040 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085199 -               2220... 1000 1061000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085200 -               2310... 80 62940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085202 -  ..
085203 - Hiking - none, rest - EGD dilation procedure in GI Clinic at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085204 - Medical Center in Sacramento.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085206 -  ..
085207 - Breakfast - NPO for EGD procedure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085208 - Lunch - lasagna few bites lettuce onion tomato avocado few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085209 - Dinner - lasagna spaghetti lettuce onion tomato avocado bread, peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085210 - pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085212 -  ..
085213 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085217 -         ..
085218 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085219 -   59.  180228 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085220 -               0755....BP HR with Diff........................................... 154  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085221 -               0800....BP HR with Diff........................................... 139  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085222 -               0805....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085223 -               0805... 20 13000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085224 -               0805... 80 63020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085225 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085226 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085227 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085228 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085229 -               1810... 40 30040 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085230 -             1 0000............ 10 9780  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085231 -             1 0000............ 10 9370  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085232 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085233 -               1950... 20 11060 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085234 -               2010... 1000 1062000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085235 -               2210... 80 63100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085237 -  ..
085238 - Hiking - none, rest - recover EGD procedure yesterday on 180227 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085239 - ref SDS 85 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085241 -  ..
085242 - Breakfast - Cream of Wheat rasins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085243 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085244 - Dinner - lettuce tomato asparagus onion asparagus cumcumber avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085245 - hamburger bread                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085247 -  ..
085248 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085252 -         ..
085253 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085254 -   60.  180301 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085255 -               0730....BP HR with Diff........................................... 123  67  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085256 -               0735....BP HR with Diff........................................... 124  67  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085257 -               0750....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085258 -               0750... 20 13020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085259 -               0750... 80 63180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085260 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085261 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085262 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085263 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085264 -               1740... 40 30080 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085265 -               1940............ 10 9790  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085266 -               1940............ 10 9380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085267 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085268 -               2110... 20 11080 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085269 -               2140... 1000 1063000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085270 -               2240... 80 63260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085272 -  ..
085273 - Seem healthy at age 73.  Hiking at high levels, per below, ref SDS 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085274 - XY4M, controls blood pressure and heart rate at low levels, maintains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085275 - HDL > 60, and likely elevated EPCs that prevent atherogenisis (plaque                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085276 - buildup in blood vessels), thus allowing full blood flow delivering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085277 - nutrition and oxygen to cells for strong physical and cognitive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085278 - function.  Hiking further elevates telomeres for continual cell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085279 - regeneration.  Achalasia now well managed with mild diet, minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085280 - drugs, EGD medical procedures finding no ulceration from reflux, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085281 - despite failed Dor fundoplication, reported following EGD procedure 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085282 - days ago on 180227 0800. ref SDS 85 GD5K  Hiking elevates WBC 10.8 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085283 - immunity against disease, including cancer, flu.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085285 -  ..
085286 - Hiking - none, rest - recover EGD procedure on 180227 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085287 - ref SDS 85 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085289 -  ..
085290 - Breakfast - eggs toast avocado onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085291 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085292 - Dinner - lettuce tomato asparagus onion asparagus cumcumber avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085293 - spaghetti hamburger, pie ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085295 -  ..
085296 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085300 -         ..
085301 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085302 -   61.  180302 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085303 -               0915....BP HR with Diff........................................... 128  78  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085304 -               0920....BP HR with Diff........................................... 127  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085305 -               0930....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085306 -               0930... 20 13040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085307 -               0930... 80 63340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085308 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085309 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085310 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085311 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085312 -               1640... 40 30120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085313 -             1 0000............ 10 9790  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085314 -             1 0000............ 10 9380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085315 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085316 -               1920... 20 11100 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085317 -               1950... 1000 1064000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085318 -               2210... 80 63420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085321 -  ..
085322 - Hiking - none, rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085324 -  ..
085325 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085326 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085327 - Dinner - lettuce tomato asparagus onion asparagus avocado spaghetti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085328 - hamburger, hot dog cottage cheese chips, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085330 -  ..
085331 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085335 -         ..
085336 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085337 -   62.  180303 0930..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085338 -               0950....BP HR with Diff........................................... 127  81  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085339 -               0955....BP HR with Diff........................................... 126  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085340 -               1000....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085341 -               1000... 20 13060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085342 -               1000... 80 63500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085343 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085344 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085345 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085346 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085347 -               1820... 40 30160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085348 -               2050............ 10 9800  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085349 -               2050............ 10 9390  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085350 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085351 -               2230... 20 11120 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085352 -               2230... 1000 1065000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085353 -               2320... 80 63580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085356 -  ..
085357 - Hiking - none, rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085359 -  ..
085360 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085361 - Lunch - sandwich pastrami onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085362 - Dinner - lettuce tomato asparagus onion asparagus avocado spaghetti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085363 - hamburger, triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085365 -  ..
085366 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085369 -         ..
085370 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085371 -   63.  180304 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085372 -               0755....BP HR with Diff........................................... 119  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085373 -               0800....BP HR with Diff........................................... 126  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085374 -               0810....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085375 -               0810... 20 13080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085376 -               0810... 80 63660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085377 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085378 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085379 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085380 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085381 -               1810... 40 30200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085382 -             1 0000............ 10 9800  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085383 -             1 0000............ 10 9390  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085384 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085385 -               2050... 20 11140 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085386 -               2120... 1000 1066000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085387 -               2220... 80 63740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085390 -  ..
085391 - Hiking - none, rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085393 -  ..
085394 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085395 - Lunch - half hamburger some fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085396 - Dinner - lettuce onion cumcumber salmon asparagus tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085397 - bread                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085399 -  ..
085400 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085403 -         ..
085404 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085405 -   64.  180305 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085406 -               0830....BP HR with Diff........................................... 135  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085407 -               0835....BP HR with Diff........................................... 123  72  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085408 -               0840....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085409 -               0840... 20 13100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085410 -               0840... 80 63820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085411 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085412 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085413 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085414 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085415 -          * cr 1240....miles...........  11.0  11.00  173  173 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085416 -               1550....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085417 -               1620....BP HR with Diff........................................... 118  80  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085418 -               1630....BP HR with Diff........................................... 122  75  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085419 -               1720... 40 30200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085420 -               2010............ 10 9810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085421 -               2010............ 10 9400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085422 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085423 -               2120... 20 11160 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085424 -               2140... 1000 1067000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085425 -               2230... 80 63900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085427 -  ..
085428 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085429 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085431 -  ..
085432 - Pain medication - none.  Another good hike.  Mainly pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085433 - Few times burning sensation right foot on Clayton.  No pain issues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085434 - hiking Crystal Ranch Road and back to house.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085436 -  ..
085437 - Blood pressure improving before hiking despite taking gastrointestinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085438 - drugs last night. ref SDS 37 NZ4L  Blood pressure after hiking should                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085439 - be lower.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085441 -  ..
085442 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085443 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085444 - hiking.  Trying new wrapping scheme.  Worked well - did not have to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085445 - stop for adjusting shoes and socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085447 -  ..
085448 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085449 - no dressing, and no recurrence of injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085451 -  ..
085452 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085453 - do extra 1 mile at the end.  Starting okay good energy; weather                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085454 - perfect, sunshine no clouds nor wind; time to 1.25 miles 18 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085455 - Maintained fast pace on Clayton hiking on concrete sidewalk.  Mile 2.2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085456 - pain level both calfs and tendons 2 - 3, so slowed pace.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085457 - corner at mile 3.25 continued on concrete sidewalk - pain level calfs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085458 - and tendons both legs 2.  Hiked to mile 3.5, then switched to roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085459 - asphault surface.  Pain level calfs and tendons 1, so increased pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085460 - Time to mile 4.25 68 minutes.  Continued on Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085461 - with pain level 0.  Increased pace to Crystal Ranch Road, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085462 - corner and hiked 4-mile loop; starting uphill to the summit about .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085463 - miles.   Handled this well.  Hiked up Rolling Woods Way about .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085464 - miles.  Continued downhill with slow pace to Pine Hollow.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085465 - Pine Hollow hiked 1 mile to Ygnacio Valley Road.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085466 - considering going over the summit for 15 mile hike.  Hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085467 - Crystal Ranch Road noticed little toe left foot pinched.  Hiked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085468 - uphill to Cowell.  Turned onto Cowell and returned home for 11 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085469 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085471 -  ..
085472 - Breakfast - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085473 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085474 - Dinner - lettuce onion cumcumber salmon asparagus tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085475 - bread                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085477 -  ..
085478 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085482 -         ..
085483 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085484 -   65.  180306 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085485 -               0750....BP HR with Diff........................................... 132  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085486 -               0800....BP HR with Diff........................................... 123  69  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085487 -               0800....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085488 -               0800... 20 13120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085489 -               0800... 80 63980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085490 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085491 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085492 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085493 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085494 -               1740... 40 30200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085495 -             1 0000............ 10 9810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085496 -             1 0000............ 10 9400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085497 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085498 -               2020... 20 11180 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085499 -               2050... 1000 1068000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085500 -               2200... 80 64060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085502 -  ..
085503 - Hiking - none, rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085505 -  ..
085506 - Breakfast - eggs bacon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085507 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085508 - Dinner - pork chops lettuce brocolli asparagus cumcumber tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085509 - avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085511 -  ..
085512 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085516 -         ..
085517 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085518 -   66.  180307 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085519 -               0740....BP HR with Diff........................................... 138  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085520 -               0745....BP HR with Diff........................................... 134  75  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085521 -               0820....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085522 -               0000... 20 13120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085523 -               0755... 80 64140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085524 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085525 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085526 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085527 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085528 -               1930... 40 30200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085529 -               2130............ 10 9820  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085530 -               2130............ 10 9410  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085531 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085532 -               2240... 20 11200 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085533 -               2310... 1000 1069000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085534 -               2340... 80 64220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085536 -  ..
085537 - Hiking - none, rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085539 -  ..
085540 - Breakfast - eggs sausage avocado toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085541 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085542 - Dinner - meatloaf mashed potatoes lettuce brocolli asparagus tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085543 - onion avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085545 -  ..
085546 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085550 -         ..
085551 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085552 -   67.  180308 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085553 -               0850....BP HR with Diff........................................... 146  77  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085554 -               0900....BP HR with Diff........................................... 141  76  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085555 -               0910....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085556 -               1320....miles...........  11.0  22.00  173  346 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085557 -               1635....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085558 -               1705....BP HR with Diff........................................... 122  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085559 -               1720....BP HR with Diff........................................... 116  75  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085560 -               0910... 20 13140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085561 -               0910... 80 64300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085562 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085563 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085564 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085565 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085566 -               1730... 40 30240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085567 -             1 0000............ 10 9820  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085568 -             1 0000............ 10 9410  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085569 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085570 -               2020... 20 11220 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085571 -               2050... 1000 1070000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085572 -               2220... 80 64380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085574 -  ..
085575 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085576 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085578 -  ..
085579 - Pain medication - none.  After mile 5 on Ygnacio Valley Road pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085580 - level 2 and increased to level 8 by end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085582 -  ..
085583 - Blood pressure poor today. after taking gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085584 - night. ref SDS 37 XM5I  Blood pressure after hiking should be lower.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085586 -  ..
085587 - Double socks - wrapped toes both feet wool/felt to maintain spacing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085588 - so toes are not squeezed out of alignment from tighting shoe laces and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085589 - hiking.  Trying new wrapping scheme.  Cut felt/wool strips wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085590 - today.  Did not work well; feet hurt to pain level 8 after mile 5.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085591 - mile 1.75, had to stop at McDonald's and remove wrapping on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085592 - foot.  Replaced it, and initially worked better, but by mile 5 failed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085594 -  ..
085595 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085596 - single thickness round pad, and did not cut in half.  Placed lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085597 - wool held over the blister area and applied white tape.  Worked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085598 - well today.  Blister bubble did not recur after hike - seems to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085599 - healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085601 -  ..
085602 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085603 - 1 mile at the end.  Starting good energy; weather perfect, sunshine no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085604 - clouds nor wind.  Right foot pain level 2, so slow pace.  Hoped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085605 - problem would resolve, but didn't so time to 1.25 miles 19 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085606 - Maintained slow pace on Clayton hiking on concrete sidewalk.  Mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085607 - stopped at McDonald's.  Removed right shoe and socks.  Considered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085608 - removing outer sock and felt cloth wrapping on big toe, since it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085609 - seemed the big toe was pressed against the end of the shoe.  Actually,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085610 - it looked okay, so left everything in place.  Continued hike with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085611 - reduced to level 1.  Increased pace.  Turned corner at mile 3.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085612 - continued on concrete sidewalk.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085613 - asphault roadway.  Time to mile 4.25 68 minutes.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085614 - Valley Road hiking with pain level 0.  Nearing Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085615 - began feeling pain across width of both feet - seemed like calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085616 - both big toes and Tailor's bunion on edges of both feet.  Concerned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085617 - that going downhill big toe right foot would press even harder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085618 - end of shoe causing increased pain.  So did not turn corner and hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085619 - 4-mile loop.  Continued on Ygnacio Valley Road.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085620 - uphill to summit.  Both feet pain level 2.  Considered turning around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085621 - and taking Cowell home, but continued downhill on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085622 - Caused pain level 4.  Would have been worse doing steeper downhills on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085623 - Crystal Ranch Road loop.  Turned corner and hiked 1 mile on Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085624 - Pain level increased to level 5.  Turned onto Treat.  Pain increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085625 - to level 6.  Increased pace going uphill on Treat at mile 9.5.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085626 - increased to level 8, but somehow just ignored it.  Maybe endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085627 - kicked in.  Went ahead and did last mile loop at pain level I don't                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085628 - know what.  Glad there was no blood when I removed the socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085630 -  ..
085631 - After hike...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085633 -  ..
085634 - Calluses peeled off on both big toes.  Maybe this will help tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085635 - Used cutical scissors to cut part of callus on left big toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085637 -  ..
085638 - Big toe right foot cut toenail to reduce pressure that caused pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085639 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085641 -  ..
085642 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085643 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085644 - Dinner - lettuce brocolli asparagus tomato cellery spaghetti onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085645 - avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085647 -  ..
085648 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085652 -         ..
085653 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085654 -   68.  180309 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085655 -               0920....BP HR with Diff........................................... 132  73  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085656 -               0925....BP HR with Diff........................................... 134  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085657 -               0930....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085658 -               0910... 20 13160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085659 -               0910... 80 64460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085660 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085661 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085662 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085663 -               1100... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085664 -          * cr 1245....miles...........  11.0  33.00  175  521 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085665 -               1620....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085666 -               1645....BP HR with Diff........................................... 111  68  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085667 -               1650....BP HR with Diff........................................... 110  73  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085668 -               1730... 40 30280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085669 -               2100............ 10 9830  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085670 -               2100............ 10 9420  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085671 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085672 -               2020... 20 11240 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085673 -               2050... 1000 1071000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085674 -               2220... 80 64540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085676 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085678 -  ..
085679 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085680 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085682 -  ..
085683 - Pain medication - hydrocodone to try ensuring can get through hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085684 - without pain that occurred yesterday, per above. ref SDS 37 WT5K  It                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085685 - worked!!!  May be due to peeling callouses and cutting toe nail on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085686 - right foot big toe, after the hike yesterday, per above. ref SDS 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085687 - GG3G  Changing felt cloth wrapping was reduced and replaced with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085689 -  ..
085690 - Blood pressure poor today. after taking gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085691 - night. ref SDS 37 XM5I  Blood pressure after hiking should be lower.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085693 -  ..
085694 - Double socks - did not wrap toes both feet wool/felt to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085695 - spacing, so toes are not squeezed out of alignment from tighting shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085696 - laces and hiking.  Trying another new wrapping scheme.  Eliminated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085697 - most wool felt cloth.  Used wool/felt cloth only on little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085698 - ring toe right foot.  Applied protective gel with white tape to little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085699 - toe and ring toe left foot.  Worked well, pain level 0 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085700 - hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085702 -  ..
085703 - Calluses on both big toes dressed with protective gel and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085704 - Worked well, pain level 0 with hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085706 -  ..
085707 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085708 - single thickness round pad, and did not cut in half.  Placed lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085709 - wool held over the blister area and applied white tape.  Worked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085710 - well today.  Blister bubble did not recur after hike - seems to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085711 - healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085713 -  ..
085714 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085715 - 1 mile at the end.  Starting good energy; pain level 0 - much better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085716 - than yesterday; time to 1.25 miles 18 minutes.  Maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085717 - on Clayton hiking on concrete sidewalk.  Mile 2.5 began feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085718 - burning sensation mostly bottom right foot.  Turned corner at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085719 - 3.25 continued on concrete sidewalk.  Hiked to mile 3.5, then switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085720 - to asphault roadway.  Time to mile 4.25 70 minutes.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085721 - Ygnacio Valley Road hiking with pain level 0.  Nearing Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085722 - Road noticed burning sensation bottom both feet fully subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085723 - Turned corner and hiked 4-mile loop beginning with Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085724 - Seemed to have low energy today, so did not increase pace going uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085725 - to summit.  Beyond summit slowed pace to recover on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085726 - Slowed going downhill.  Turned corner onto Rolling Woods Way and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085727 - maintained moderate pace uphill to summit.  Slow pace going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085728 - to Pine Hollow.  Turned corner and felt very good, so increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085729 - on Pine Hollow hiking 1 mile back to Ygnacio Valley Road.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085730 - Ygnacio Valley Road and amazed having pain level 0 for feet, knees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085731 - hips and back, especially after disaster yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085732 - ref SDS 37 WT5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085734 -  ..
085735 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085736 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085737 - Dinner - spaghetti asparagus tomato cellery onion avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085739 -  ..
085740 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085745 -         ..
085746 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085747 -   69.  180310 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085748 -               0810....BP HR with Diff........................................... 115  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085749 -               0815....BP HR with Diff........................................... 129  72  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085750 -               0840....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085751 -               0840... 20 13180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085752 -               0840... 80 64620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085753 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085754 -               0000....200    3800 Ibuprofen - Motrin with ensure (food)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085755 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085756 -               1030... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085757 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085758 -          * cr 1205....miles...........  11.0  44.00  172  693 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085759 -               1510....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085760 -               1525....BP HR with Diff........................................... 107  74  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085761 -               1540....BP HR with Diff........................................... 119  75  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085762 -               1735... 40 30220 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085763 -             1 0000............ 10 9830  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085764 -             1 0000............ 10 9420  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085765 -               2110... 20 11260 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085766 -               2140... 1000 1072000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085767 -               2310... 80 64700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085769 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085771 -  ..
085772 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085773 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085775 -  ..
085776 - Stomach pressure in mid-morning, so took baking soda - effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085777 - solution.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085779 -  ..
085780 - Pain medication - none; this worked well today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085782 -  ..
085783 - Blood pressure better today. after taking gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085784 - night. ref SDS 37 C38M  Blood pressure after hiking was okay for mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085785 - temperatures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085787 -  ..
085788 - Double socks - did not wrap toes both feet wool/felt to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085789 - spacing, so toes are not squeezed out of alignment from tighting shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085790 - laces and hiking.  Trying another new wrapping scheme.  Eliminated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085791 - most wool felt cloth.  Used wool/felt cloth only on little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085792 - ring toe right foot.  Applied protective gel with white tape to little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085793 - toe and ring toe left foot.  Worked well, pain level 0 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085794 - hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085796 -  ..
085797 - Calluses on both big toes dressed with protective gel and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085798 - Worked well, pain level 0 without hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085800 -  ..
085801 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085802 - single thickness round pad, and did not cut in half.  Placed lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085803 - wool held over the blister area and applied white tape.  Worked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085804 - well today.  Blister bubble did not recur after hike - seems to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085805 - healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085807 -  ..
085808 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085809 - 1 mile at the end.  Starting good energy; pain level 0 so fast pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085810 - time to 1.25 miles 17 minutes.  Maintained good pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085811 - on concrete sidewalk.  Mile 2.0 began feeling burning/stinging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085812 - sensation mostly bottom right foot.  Seemed like this was pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085813 - from cutout for plantar plate tear, similar to hike on 171210, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085814 - above, ref SDS 37 TN8O, but today, the cutout is very smaall.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085815 - corner at mile 3.25 onto Ygnacio Valley Road and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085816 - sidewalk.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085817 - Pressure on bottom right foot went away.  Time to mile 4.25 66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085818 - minutes.  Continued on Ygnacio Valley Road hiking with pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085819 - Nearing Crystal Ranch Road noticed pain level 0, felt strong so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085820 - corner and hiked 4-mile loop beginning with Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085821 - energy enabled hiking fast uphill all the way 1 mile.  Beyond                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085822 - summit slowed pace to recover on flat ground.  Maintained slow pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085823 - gong downhill to prevent injury to knees.  Turned corner onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085824 - Woods Way and maintained fast pace uphill to summit.  Slow pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085825 - downhill to Pine Hollow.  Turned corner and felt very good, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085826 - increased pace on Pine Hollow hiking 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085827 - Road.  Turned onto Ygnacio Valley Road and felt well.  Hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085828 - Crystal Ranch Road and up to Cowell.  Turned on Cowell and returned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085829 - home.  Sprinted last 100 yards to make green light at Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085831 -  ..
085832 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085833 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085834 - Dinner - cottage cheese asparagus tomato cellery avocado mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085835 - pie ice cream milk ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085837 -  ..
085838 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085842 -         ..
085843 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085844 -   70.  180311 0840..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085845 -               0905....BP HR with Diff........................................... 140  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085846 -               0910....BP HR with Diff........................................... 136  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085847 -               0920....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085848 -               0920... 20 13200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085849 -               0920... 80 64780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085850 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085851 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085852 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085853 -          * cr 1115....miles...........  11.0  55.00  163  856 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085854 -               1415....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085855 -               1450....BP HR with Diff........................................... 114  76  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085856 -               1505....BP HR with Diff........................................... 111  67  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085857 -               1700... 40 30260 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085858 -               2100............ 10 9840  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085859 -               2100............ 10 9430  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085860 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085861 -               2020... 20 11280 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085862 -               2050... 1000 1073000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085863 -               2220... 80 64860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085865 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085867 -  ..
085868 - Good hike today, previous comparable time for 11 miles was 161027, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085869 - above. ref SDS 37 QS3H  Next prior comparable hike was on 150723,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085870 - reported in case study on 140101 0600, ref SDS 21 8T7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085872 -  ..
085873 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085874 - ref SDS 80 0001  Seems to be paying off now.  There is some pain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085875 - the forefeet, but wears off by mile 4, and then can hike Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085876 - Ranch Road at fast pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085878 -  ..
085879 - Pain medication - none; this worked today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085881 -  ..
085882 - Blood pressure worse today. after taking gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085883 - night. ref SDS 37 C38M  Blood pressure after hiking was okay for mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085884 - temperatures and fast hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085886 -  ..
085887 - Double socks - did not wrap toes both feet wool/felt to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085888 - spacing, so toes are not squeezed out of alignment from tighting shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085889 - laces and hiking.  Trying another new wrapping scheme.  Eliminated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085890 - most wool felt cloth.  Used wool/felt cloth only on little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085891 - ring toe right foot.  Applied protective gel with white tape to little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085892 - toe and ring toe left foot.  Worked well, pain level 0 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085893 - hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085895 -  ..
085896 - Calluses on both big toes dressed with protective gel and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085897 - Worked well, pain level 0 without hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085899 -  ..
085900 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Today, used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085901 - single thickness round pad, and did not cut in half.  Placed lambs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085902 - wool held over the blister area and applied white tape.  Worked very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085903 - well today.  Blister bubble did not recur after hike - seems to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085904 - healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085906 -  ..
085907 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085908 - 1 mile at the end.  Starting good energy; pain level 0 - normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085909 - time to 1.25 miles 18 minutes.  Maintained normal pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085910 - hiking on concrete sidewalk.  Mile 1.5 calfs and tendons both legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085911 - pain level 2.  Mile 3.0 began feeling burning/stinging sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085912 - mostly bottom right foot - but much less than yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085913 - ref SDS 37 YYQP  Turned corner at mile 3.25 onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085914 - and continued on concrete sidewalk.  Hiked to mile 3.5, then switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085915 - to asphault roadway.  Pressure on bottom right foot went away, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085916 - pain level 0 calfs and tendons.  Time to mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085917 - Continued on Ygnacio Valley Road hiking with pain level 0.  Nearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085918 - Crystal Ranch Road noticed pain level 0, felt strong so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085919 - and hiked 4-mile loop beginning with Crystal Ranch Road.  Good energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085920 - enabled hiking fast uphill all the way 1 mile.  Beyond summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085921 - slowed pace to recover on flat ground.  Increased pace gong downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085922 - because now there is no sense faster pace downhill will injure knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085923 - Turned corner onto Rolling Woods Way and maintained fast pace uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085924 - to summit.  Slower pace going downhill to Pine Hollow.  Called Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085925 - and discussed meeting at Mudville Grill for lunch in Clayton.  Said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085926 - would call in 40 minutes or so to let her know to leave the house, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085927 - we arrive about same time.  About halfway downhill on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085928 - Way increased pace to slow jog, because no concern about injurying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085929 - knees.  This is a big improvement over past 2 years.  Changed mind and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085930 - decided to hike home for 11 mile route, planned to call Kathy on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085931 - Ygnacio Valley Road and discuss having lunch at home.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085932 - and felt very good, so increased pace on Pine Hollow hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085933 - back to Ygnacio Valley Road.  Turned onto Ygnacio Valley Road and felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085934 - well.  Hiking back to Crystal Ranch Road suddenly saw Kathy parked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085935 - ahead.  So she left before I could call and explain change of plans.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085936 - Stepping over the curb to speak with her through the passenger widow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085937 - did not lift either left or right foot high enough to clear the curb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085938 - level, only about 8", and so tripped and fell.  Caught myself on my                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085939 - hands.  Momentum carried me in a sideways flip or roll, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085940 - hit the ground.  Caught myself with my hands.  Fortuntely, nothing was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085941 - injured.  Kathy explained that since there was no call in 30 minutes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085942 - she decided to leave the house for Mudville Grill.  Discussed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085943 - completing the hike, skipping lunch, and having an early dinner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085944 - Continued hike past Crystal Ranch Road and up to Cowell.  Turned on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085945 - Cowell and returned home.  Very good hike fast pace all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085947 -  ..
085948 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085949 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085950 - Dinner - stew - roast beef onion cellery potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085952 -  ..
085953 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085958 -         ..
085959 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085960 -   71.  180312 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085961 -               0820....BP HR with Diff........................................... 131  74  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085962 -               0825....BP HR with Diff........................................... 135  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085963 -               0830....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085964 -               0830... 20 13220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085965 -               0830... 80 64940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085966 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085967 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085968 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085969 -          * cr 1115....miles...........  11.0  11.00  162  162 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085970 -               1315....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085971 -               1330....BP HR with Diff........................................... 107  74  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085972 -               1335....BP HR with Diff........................................... 113  69  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085973 -               1700... 40 30300 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085974 -             1 0000............ 10 9840  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085975 -             1 0000............ 10 9430  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085976 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085977 -               2110... 20 11300 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085978 -               2200... 1000 1074000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085979 -               2320... 80 65020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085981 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085983 -  ..
085984 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085985 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085987 -  ..
085988 - Pain medication - none; this worked today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085990 -  ..
085991 - Blood pressure better today. after taking gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085992 - night. ref SDS 37 ZH7K  Blood pressure after hiking was okay for mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085993 - temperatures and fast hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085995 -  ..
085996 - Double socks - nothing else for the first time in several years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085998 -  ..
085999 - Calluses on both big toes no dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086001 -  ..
086002 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086003 - seems healed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086005 -  ..
086006 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086007 - 1 mile at the end.  Starting good energy; pain level 0 - normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086008 - time to 1.25 miles 18 minutes.  Maintained normal pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086009 - hiking on concrete sidewalk.  Mile 1.5 calfs and tendons both legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086010 - pain level 2.  Mile 3.0 began feeling burning/stinging sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086011 - mostly bottom right foot - but much less than yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086012 - ref SDS 37 YYQP  Turned corner at mile 3.25 onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086013 - and continued on concrete sidewalk.  Hiked to mile 3.5, then switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086014 - to asphault roadway.  Pressure on bottom right foot went away, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086015 - pain level 0 calfs and tendons.  Time to mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086016 - Continued on Ygnacio Valley Road hiking with pain level 0.  Nearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086017 - Crystal Ranch Road noticed pain level 0, felt strong so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086018 - and hiked 4-mile loop beginning with Crystal Ranch Road.  Good energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086019 - enabled hiking fast uphill all the way 1 mile.  Beyond summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086020 - slowed pace to recover on flat ground.  Increased pace gong downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086021 - because now there is no sense faster pace downhill will injure knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086022 - Turned corner onto Rolling Woods Way and maintained fast pace uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086023 - to summit.  Slower pace going downhill to Pine Hollow.  About halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086024 - downhill on Rolling Woods Way increased pace to slow jog, because no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086025 - pain in knees.  Turned corner and felt very good, so increased pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086026 - Pine Hollow hiking 1 mile back to Ygnacio Valley Road.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086027 - Ygnacio Valley Road and felt well.  Continued hike past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086028 - Road and up to Cowell.  Turned on Cowell toward Treat.  After initial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086029 - downhill section of Cowell, ran about 300 yards.  Felt good running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086030 - again and with no pain medication, and no special dressing for toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086031 - Another very good hike fast pace all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086033 -  ..
086034 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086035 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086036 - Dinner - meatloaf mashed potatoes asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086038 -  ..
086039 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086043 -         ..
086044 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086045 -   72.  180313 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086046 -               0855....BP HR with Diff........................................... 125  72  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086047 -               0905....BP HR with Diff........................................... 127  72  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086048 -               0910....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086049 -               0910... 20 13240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086050 -               0910... 80 65100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086051 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086052 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086053 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086054 -               1740... 40 30340 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086055 -               2120............ 10 9850  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086056 -               2120............ 10 9440  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086057 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086058 -               2220... 20 11320 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086059 -               2230... 1000 1075000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086060 -               2320... 80 65180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086062 -  ..
086063 - Breakfast - eggs bacon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086064 - Lunch - sandwich balogna tomato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086065 - Dinner - cottage cheese asparagus tomato cellery avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086066 - not dogs chips, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086068 -  ..
086069 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086073 -         ..
086074 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086075 -   73.  180314 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086076 -               0810....BP HR with Diff........................................... 127  75  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086077 -               0815....BP HR with Diff........................................... 121  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086078 -               0830....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086079 -               0830... 20 13260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086080 -               0830... 80 65260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086081 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086082 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086083 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086084 -               1425....miles...........  11.0  22.00  172  334 minutes temp  52 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086085 -               1740....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086086 -               1800....BP HR with Diff........................................... 106  73  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086087 -               1810....BP HR with Diff........................................... 103  67  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086088 -               1840... 40 30380 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086089 -             1 0000............ 10 9850  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086090 -             1 0000............ 10 9440  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086091 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086092 -               2220... 20 11340 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086093 -               2230... 1000 1076000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086094 -               2320... 80 65340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086096 -  ..
086097 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086098 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086100 -  ..
086101 - Pain medication - none.  Another good hike.  Pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086102 - route on injuries.  No burning sensation today - miracle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086104 -  ..
086105 - Blood pressure much better today, before hiking despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086106 - gastrointestinal drugs last night. ref SDS 37 J47L  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086107 - after hiking where it should be for distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086109 -  ..
086110 - Double socks - nothing else for 2nd time in several years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086112 -  ..
086113 - Calluses on both big toes no dressing - seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086115 -  ..
086116 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086117 - seemed healed, but recurred slightly, so will apply dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086119 -  ..
086120 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086121 - 1 mile at the end.  Starting good energy; very overcast, seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086122 - would continue raining but didn't.  Calfs and tendons both legs pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086123 - level 3 so slow pace.  Time to 1.25 miles 18 minutes.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086124 - on Clayton hiking on concrete sidewalk.  Sun came out.  Mile 2.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086125 - calfs and tendons pain resolved.  Increased pace.  Turned corner at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086126 - mile 3.25 continued on concrete sidewalk.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086127 - switched to asphault roadway.  Time to mile 4.25 65 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086128 - Continued on Ygnacio Valley Road hiking against strong head wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086129 - Nearing Crystal Ranch Road decided to omit 4-mile loop.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086130 - Ygnacio Valley Road past Cowell.  Increased pace going uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086131 - summit.  Both feet pain level 0.  Maintained good pace downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086132 - Ygnacio Valley Road.  Turned corner and hiked 1 mile on Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086133 - Turned onto Treat.  Pain Increased pace going uphill on Treat at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086134 - 9.5.  At Cuneo did extra mile loop at good pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086136 -  ..
086137 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086138 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086139 - Dinner - spaghetti asparagus onion tomato avocado cellery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086141 -  ..
086142 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086147 -         ..
086148 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086149 -   74.  180315 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086150 -               0920....BP HR with Diff........................................... 114  69  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086151 -               0925....BP HR with Diff........................................... 118  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086152 -               0930....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086153 -               0930... 20 13280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086154 -               0930... 80 65420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086155 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086156 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086157 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086158 -               1300....miles...........  11.0  33.00  165  499 minutes temp  52 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086159 -               1620....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086160 -               1630....BP HR with Diff........................................... 104  77 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086161 -               1810....BP HR with Diff........................................... 115  77  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086162 -               1720... 40 30420 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086163 -               2105............ 10 9860  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086164 -               2105............ 10 9450  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086165 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086166 -               2210... 20 11360 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086167 -               2220... 1000 1077000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086168 -               2250... 80 65500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086170 -  ..
086171 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086172 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086174 -  ..
086175 - Pain medication - none.  Another good hike.  Pain level 0 entire route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086176 - on injuries.  Minor burning sensation about mile 2 for about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086178 -  ..
086179 - Blood pressure much better today, before hiking despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086180 - gastrointestinal drugs last night. ref SDS 37 J47L  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086181 - after hiking where it should be for distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086183 -  ..
086184 - Double socks - nothing else for 2nd time in several years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086186 -  ..
086187 - Calluses on both big toes no dressing - seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086189 -  ..
086190 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086191 - seemed healed, but recurred slightly, so will apply dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086193 -  ..
086194 - Tailor's Bunion left foot was treated by Doctor Tucker with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086195 - injection on 180105 1630. ref SDS 80 HQ9X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086197 -  ..
086198 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086199 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086201 -  ..
086202 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086203 - 1 mile at the end.  Starting felt like low energy; very overcast,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086204 - seemed like would continue raining but didn't.  Calfs and tendons                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086205 - both legs pain level 0, seemed like slow pace but time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086206 - 17 minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086207 - Mile 1.75 increased rain slowed pace.  Mile 2.5 feeling feet, like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086208 - burning sensation but milder.  Turned corner at mile 3.25 continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086209 - concrete sidewalk.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086210 - roadway.  Everything pain level 0.  Strong headwind slowed pace.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086211 - to mile 4.25 66 minutes.  Continued on Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086212 - against strong head wind.  Nearing Crystal Ranch Road decided to omit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086213 - 4-mile loop, but at mile 5 road swerved, so wind was from left side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086214 - blowing me toward the traffic lane - had to be very careful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086215 - Continued on Ygnacio Valley Road past Cowell.  Increased pace against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086216 - sidewind and going uphill to summit.  Both feet pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086217 - Maintained good pace downhill on Ygnacio Valley Road.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086218 - and hiked 1 mile on Oak Grove fast pace with tail wind.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086219 - Treat.  Increased pace going uphill on Treat at mile 9.5.  At Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086220 - did extra mile loop at good pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086222 -  ..
086223 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086224 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086225 - Dinner - meatloaf asparagus mushrooms mashed potatoes, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086226 - milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086228 -  ..
086229 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086232 -         ..
086233 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086234 -   75.  180316 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086235 -               0820....BP HR with Diff........................................... 114  76  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086236 -               0820....BP HR with Diff........................................... 120  74  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086237 -               0830....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086238 -               0830... 20 13300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086239 -               0830... 80 65580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086240 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086241 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086242 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086243 -               1320....miles...........  11.0  44.00  170  669 minutes temp  54 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086244 -               1635....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086245 -               1640....BP HR with Diff........................................... 100  81 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086246 -               1650....BP HR with Diff........................................... 108  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086247 -               1700... 40 30460 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086248 -             1 0000............ 10 9860  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086249 -             1 0000............ 10 9450  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086250 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086251 -               2210... 20 11380 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086252 -               2220... 1000 1078000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086253 -               2250... 80 65660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086255 -  ..
086256 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086257 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086259 -  ..
086260 - Pain medication - none.  Another good hike.  Pain level 0 entire route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086261 - on injuries.  Minor burning sensation about mile 2 for about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086263 -  ..
086264 - Blood pressure much better today, before hiking despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086265 - gastrointestinal drugs last night. ref SDS 37 J47L  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086266 - after hiking where it should be for distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086268 -  ..
086269 - Double socks - nothing else for 2nd time in several years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086271 -  ..
086272 - Calluses on both big toes no dressing - seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086274 -  ..
086275 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086276 - seemed healed, but recurred slightly, so will apply dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086278 -  ..
086279 - Tailor's Bunion left foot applied dressing: cut circular pad in half;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086280 - used one half on bottom of foot and the other on top to relieve shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086281 - pressure.  Secured with white tape.  Worked well during hike - pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086282 - level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086284 -  ..
086285 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086286 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086288 -  ..
086289 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086290 - 1 mile at the end.  Starting felt like low energy; very overcast,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086291 - seemed like would continue raining but didn't.  Calfs and tendons                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086292 - both legs pain level 0, seemed like slow pace but time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086293 - 17 minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086294 - Mile 1.75 increased rain slowed pace.  Mile 2.5 feeling feet, like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086295 - burning sensation but milder.  Turned corner at mile 3.25 continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086296 - concrete sidewalk.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086297 - roadway.  Everything pain level 0.  Strong headwind slowed pace.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086298 - to mile 4.25 65 minutes.  Continued on Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086299 - against strong head wind, but at mile 4.75 road twisted so wind was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086300 - from left side blowing me into the traffic lane.  Nearing Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086301 - Ranch Road decided to omit 4-mile loop.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086302 - Road past Cowell.  Increased pace going uphill to summit.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086303 - pain level 0.  Maintained good pace downhill on Ygnacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086304 - which twisted again into the wind.  Turned corner and hiked 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086305 - Oak Grove fast pace with tail wind.  Turned onto Treat.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086306 - pace going uphill on Treat at mile 9.5.  At Cuneo did extra mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086307 - at good pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086309 -  ..
086310 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086311 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086312 - Dinner - stew (roast beef potatoes asparagus onion carrots)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086314 -  ..
086315 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086319 -         ..
086320 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086321 -   76.  180317 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086322 -               0835....BP HR with Diff........................................... 136  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086323 -               0840....BP HR with Diff........................................... 131  72  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086324 -               0845....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086325 -               0845... 20 13320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086326 -               0845... 80 65740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086327 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086328 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086329 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086330 -         * cr  1025....miles...........   6.0  50.00   92  761 minutes temp  51 heavy rain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086331 -               1250....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086332 -               1300....BP HR with Diff........................................... 122  69  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086333 -               1305....BP HR with Diff........................................... 120  62  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086334 -               1820... 40 30500 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086335 -               2110............ 10 9870  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086336 -               2110............ 10 9460  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086337 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086338 -               2215... 20 11400 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086339 -               2240... 1000 1079000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086340 -               2320... 80 65820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086342 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086344 -  ..
086345 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086346 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086348 -  ..
086349 - Pain medication - none.  Another good hike.  Pain level 0 entire route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086350 - on injuries.  Minor burning sensation about mile 2 for about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086352 -  ..
086353 - Blood pressure much better today, before hiking despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086354 - gastrointestinal drugs last night. ref SDS 37 J47L  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086355 - after hiking where it should be for distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086357 -  ..
086358 - Double socks - nothing else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086360 -  ..
086361 - Calluses on both big toes no dressing - seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086363 -  ..
086364 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086365 - seemed healed, but recurred slightly, so will apply dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086367 -  ..
086368 - Tailor's Bunion left foot applied dressing: cut circular pad in half;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086369 - used one half on bottom of foot and the other on top to relieve shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086370 - pressure.  Secured with white tape.  Worked well during hike - pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086371 - level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086373 -  ..
086374 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086375 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086377 -  ..
086378 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086379 - 1 mile at the end.  Starting good energy Calfs and tendons both legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086380 - pain level 0, seemed like fast pace but time to 1.25 miles 18 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086381 - Maintained pace on Clayton hiking on concrete sidewalk.  Mile 2 feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086382 - slight burning sensation, this subsided totally at mile 3.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086383 - corner at mile 3.25 continued fast pace on concrete sidewalk.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086384 - to mile 3.5, then switched to asphault roadway.  Everything pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086385 - 0.  Time to mile 4.25 64 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086386 - started to rain, but no wind.  Called Kathy to pick me up.  She had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086387 - just crossed Benecia-Martinez Bridge, so needed 20 minutes to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086388 - here.  Planned to meet on Ygnacio Valley Road after she turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086389 - Cowell about 2 miles ahead.  Hiking fast past Crystal Ranch Road going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086390 - uphill toward Cowell, so called Kathy again.  She was still 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086391 - to get here.  Said to meet me on Crystal Ranch Road.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086392 - and hiked back to Crystal Ranch Road, turned corner and hiked up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086393 - the summit.  Rainning hard, but hiking very fast with no wind.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086394 - arrived after I reached the summit and was walking through the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086395 - residential area on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086397 -  ..
086398 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086399 - Lunch - half hamburger few fries, cashews, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086400 - Dinner - macaroni cheese asparagus hot dog mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086402 -  ..
086403 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086407 -         ..
086408 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086409 -   77.  180318 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086410 -               0810....BP HR with Diff........................................... 120  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086411 -               0815....BP HR with Diff........................................... 118  70  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086412 -               0820....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086413 -               0820... 20 13340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086414 -               0820... 80 65900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086415 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086416 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086417 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086418 -         * cr  1130....miles...........  13.0  63.00  201  962 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086419 -               1520....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086420 -               1525....BP HR with Diff........................................... 122  68  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086421 -               1530....BP HR with Diff........................................... 123  74  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086422 -               1650... 40 30540 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086423 -             1 0000............ 10 9870  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086424 -             1 0000............ 10 9460  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086425 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086426 -               2040... 20 11420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086427 -               2110... 1000 1080000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086428 -               2150... 80 65980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086430 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086432 -  ..
086433 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086434 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086436 -  ..
086437 - Pain medication - none.  Another good hike.  Pain level 0 entire route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086438 - on injuries.  Minor burning sensation about mile 2 for about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086440 -  ..
086441 - Blood pressure much better today, before hiking despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086442 - gastrointestinal drugs last night. ref SDS 37 J47L  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086443 - after hiking where it should be for distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086445 -  ..
086446 - Double socks - nothing else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086448 -  ..
086449 - Calluses on both big toes no dressing - seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086451 -  ..
086452 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086453 - seemed healed, but recurred slightly, so will apply dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086455 -  ..
086456 - Tailor's Bunion left foot applied dressing: cut circular pad in half;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086457 - used one half on bottom of foot and the other on top to relieve shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086458 - pressure.  Secured with white tape.  Worked well during hike - pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086459 - level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086461 -  ..
086462 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086463 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086465 -  ..
086466 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086467 - 1 mile at the end.  Starting energy seemed low, and pace seemed slow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086468 - but time to 1.25 miles 17 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086469 - on concrete sidewalk.  Mile 2 feet slight burning sensation, this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086470 - subsided totally at mile 3.  Turned corner at mile 3.25 continued pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086471 - on concrete sidewalk.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086472 - roadway.  Everything pain level 0.  Time to mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086473 - Increased pace continuing on Ygnacio Valley Road.  Felt okay, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086474 - turned corner on Crystal Ranch Road and did extra 4-mile loop.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086475 - halfway up the mountain, felt fatigued from pull of gravity; slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086476 - pace hiking 2nd half to summit.  Rested hiking .5 miles with slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086477 - pace on flat ground.  Increased pace on downhill, indicating knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086478 - recovering with PRP treatments on 170726, and on 180105, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086479 - previously advancing osteoarthritis pain required going very slow with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086480 - short steps on downhill slopes.  Turned onto Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086481 - Increased pace going up steep hill for .3 miles.  Was again able to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086482 - maintain good pace going downhill to Pine Hollow.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086483 - hiked 1 mile at normal pace on flat ground.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086484 - Ygnacio Valley Road hiking back to complete 4-mile loop to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086485 - Ranch Road.  Hiking uphill toward Cowell, felt very good, no pain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086486 - feet, so went past Cowell for first time in over a month, since doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086487 - 15 miles on 170217, per above. ref SDS 37 4I5K  Maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086488 - downhill to Oak Grove.  Turned onto Oak Grove and called Kathy to pick                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086489 - me up at corner of Treat and Oak Grove.  Good pace on Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086490 - Kathy was arriving in the car just as I was reaching the corner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086491 - Seemed like good hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086493 -  ..
086494 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086495 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086496 - Dinner - corned beef carrots potatoes cabbage onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086498 -  ..
086499 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086502 -         ..
086503 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086504 -   78.  180319 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086505 -               0820....BP HR with Diff........................................... 126  78  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086506 -               0825....BP HR with Diff........................................... 123  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086507 -               0830....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086508 -               0830... 20 13360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086509 -               0830... 80 66060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086510 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086511 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086512 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086513 -         * cr  1225....miles...........  11.0  11.00  168  168 minutes temp  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086514 -               1530....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086515 -               1540....BP HR with Diff........................................... 113  77 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086516 -               1545....BP HR with Diff........................................... 109  75  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086517 -               1740... 40 30580 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086518 -               2100............ 10 9880  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086519 -               2100............ 10 9470  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086520 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086521 -               2210... 20 11440 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086522 -               2220... 1000 1081000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086523 -               2250... 80 66140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086525 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086527 -  ..
086528 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086529 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086531 -  ..
086532 - Pain medication - none.  Another good hike.  Pain level 0 entire route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086533 - on injuries.  No burning sensations.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086535 -  ..
086536 - Blood pressure good today, before hiking despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086537 - gastrointestinal drugs last night. ref SDS 37 J47L  Blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086538 - after hiking where it should be for distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086540 -  ..
086541 - Double socks - nothing else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086543 -  ..
086544 - Calluses on both big toes no dressing - seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086546 -  ..
086547 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086548 - seemed healed, but recurred slightly, so will apply dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086550 -  ..
086551 - Tailor's Bunion left foot used dressing applied yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086552 - ref SDS 37 SA6F  Worked okay, will use new dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086554 -  ..
086555 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086556 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086558 -  ..
086559 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086560 - 1 mile at the end.  Starting energy seemed good, pace normal, time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086561 - 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086562 - sidewalk.  No burning sensation today.  Mile 2 right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086563 - plate injury pain level 2.  Turned corner at mile 3.25 continued pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086564 - on concrete sidewalk.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086565 - roadway.  Everything pain level 0.  Time to mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086566 - Increased pace continuing on Ygnacio Valley Road.  Felt okay, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086567 - turned corner on Crystal Ranch Road and did extra 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086568 - Maintained pace hiking to summit without breaking stride - seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086569 - easier than yesterday.  Slowed pace at summit on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086570 - Increased pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086571 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086572 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086573 - downhill slopes.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086574 - up steep hill for .3 miles.  Was again able to maintain good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086575 - going downhill to Pine Hollow.  Turned corner and hiked 1 mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086576 - normal pace on flat ground.  Turned corner onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086577 - hiking back to complete 4-mile loop to Crystal Ranch Road.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086578 - uphill toward Cowell, felt very good, no pain in feet, but began to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086579 - feel blisters, so turned on Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086581 -  ..
086582 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086583 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086584 - Dinner - stew (roast beef carrots potatoes mushrooms, onion)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086586 -  ..
086587 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086591 -         ..
086592 -        Tuesday - 1st day of spring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086593 -   79.  180320 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086594 -               0850....BP HR with Diff........................................... 127  75  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086595 -               0855....BP HR with Diff........................................... 127  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086596 -               0900....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086597 -               0900... 20 13380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086598 -               0900... 80 66220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086599 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086600 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086601 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086602 -               1820... 40 30620 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086603 -             1 0000............ 10 9880  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086604 -             1 0000............ 10 9470  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086605 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086606 -               2020... 20 11460 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086607 -               2050... 1000 1082000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086608 -               2210... 80 66300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086610 -  ..
086611 - Hiking - none due to rain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086613 -  ..
086614 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086615 - Lunch - sandwich ham tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086616 - Dinner - corned beef carrots potatoes cabbage onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086618 -  ..
086619 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086623 -         ..
086624 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086625 -   80.  180321 0840..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086626 -               0850....BP HR with Diff........................................... 120  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086627 -               0855....BP HR with Diff........................................... 124  73  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086628 -               0900....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086629 -               0900... 20 13400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086630 -               0900... 80 66380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086631 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086632 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086633 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086634 -               1640... 40 30660 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086635 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086636 -               2020... 20 11480 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086637 -               2050... 1000 1083000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086638 -               2210............ 10 9890  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086639 -               2210............ 10 9480  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086640 -               2320... 80 66460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086642 -  ..
086643 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086644 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086645 - Dinner - macaroni cheese brocolli onion hot dogs, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086647 -  ..
086648 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086652 -         ..
086653 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086654 -   81.  180322 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086655 -               0740....BP HR with Diff........................................... 130  76  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086656 -               0745....BP HR with Diff........................................... 132  76  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086657 -               0800....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086658 -               0800... 20 13420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086659 -               0800... 80 66540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086660 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086661 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086662 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086663 -         * cr  1225....miles...........  11.0  11.00  168  168 minutes temp  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086664 -               1530....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086665 -               1540....BP HR with Diff........................................... 113  77 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086666 -               1545....BP HR with Diff........................................... 109  75  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086667 -               1820... 40 30700 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086668 -             1 0000............ 10 9890  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086669 -             1 0000............ 10 9480  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086670 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086671 -               2010... 20 11500 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086672 -               2050... 1000 1084000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086673 -               2240... 80 66620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086675 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086677 -  ..
086678 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086679 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086681 -  ..
086682 - Pain medication - none.  Another good hike.  Pain level 0 entire route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086683 - on injuries.  No burning sensations.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086685 -  ..
086686 - Blood pressure up today, before hiking after taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086687 - gastrointestinal drugs last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086689 -  ..
086690 - Double socks - nothing else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086692 -  ..
086693 - Calluses on both big toes no dressing - seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086695 -  ..
086696 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086697 - seemed healed, but recurred slightly, so will apply dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086699 -  ..
086700 - Tailor's Bunion left foot used dressing applied yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086701 - ref SDS 37 SA6F  Worked okay, will use new dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086703 -  ..
086704 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086705 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086707 -  ..
086708 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086709 - 1 mile at the end.  Starting energy seemed good, pace normal, time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086710 - 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086711 - sidewalk.  No burning sensation today.  Mile 2 right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086712 - plate injury pain level 2.  Turned corner at mile 3.25 continued pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086713 - on concrete sidewalk.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086714 - roadway.  Everything pain level 0.  Time to mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086715 - Increased pace continuing on Ygnacio Valley Road.  Felt okay, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086716 - turned corner on Crystal Ranch Road and did extra 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086717 - Maintained pace hiking to summit without breaking stride - seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086718 - easier than yesterday.  Slowed pace at summit on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086719 - Increased pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086720 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086721 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086722 - downhill slopes.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086723 - up steep hill for .3 miles.  Was again able to maintain good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086724 - going downhill to Pine Hollow.  Turned corner and hiked 1 mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086725 - normal pace on flat ground.  Turned corner onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086726 - hiking back to complete 4-mile loop to Crystal Ranch Road.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086727 - uphill toward Cowell, felt very good, no pain in feet, but began to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086728 - feel blisters, so turned on Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086730 -  ..
086731 - Breakfast - cream of wheat toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086732 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086733 - Dinner - macaroni cheese brocolli onion hot dogs, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086735 -  ..
086736 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086740 -         ..
086741 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086742 -   82.  180323 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086743 -               0920....BP HR with Diff........................................... 136  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086744 -               0925....BP HR with Diff........................................... 132  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086745 -               0930....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086746 -               0930... 20 13440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086747 -               0930... 80 66700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086748 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086749 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086750 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086751 -         * cr  1255....miles...........  11.0  22.00  165  333 minutes temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086752 -               1605....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086753 -               1615....BP HR with Diff........................................... 112  79  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086754 -               1620....BP HR with Diff........................................... 121  75  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086755 -               1710... 40 30740 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086756 -               2020............ 10 9900  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086757 -               2020............ 10 9490  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086758 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086759 -               2130... 20 11520 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086760 -               2150... 1000 1085000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086761 -               2240... 80 66780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086763 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086765 -  ..
086766 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086767 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086769 -  ..
086770 - Pain medication - none.  Another good hike.  Pain level 0 entire route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086771 - on injuries.  No burning sensations.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086773 -  ..
086774 - Blood pressure up today, before hiking despite not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086775 - gastrointestinal drugs last night.  BP about normal after hiking with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086776 - temperature cool.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086778 -  ..
086779 - Double socks - nothing else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086781 -  ..
086782 - Calluses on both big toes no dressing - seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086784 -  ..
086785 - Blister recurred on 180216, per above. ref SDS 37 DA4M  No dressing,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086786 - seemed healed, but recurred slightly, so will apply dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086788 -  ..
086789 - Tailor's Bunion left foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086790 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086792 -  ..
086793 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086794 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086796 -  ..
086797 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086798 - 1 mile at the end.  Starting energy seemed good, pace normal, time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086799 - 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086800 - sidewalk.  No burning sensation today.  Mile 2 right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086801 - plate injury pain level 2.  Turned corner at mile 3.25 continued pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086802 - on concrete sidewalk.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086803 - roadway.  Everything pain level 0.  Time to mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086804 - Increased pace continuing on Ygnacio Valley Road.  Felt okay, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086805 - turned corner on Crystal Ranch Road and did extra 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086806 - Maintained pace hiking to summit without breaking stride - seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086807 - easier than yesterday.  Slowed pace at summit on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086808 - Increased pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086809 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086810 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086811 - downhill slopes.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086812 - up steep hill for .3 miles.  Was again able to maintain good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086813 - going downhill to Pine Hollow.  Turned corner and hiked 1 mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086814 - normal pace on flat ground.  Turned corner onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086815 - hiking back to complete 4-mile loop to Crystal Ranch Road.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086816 - uphill toward Cowell, felt very good, no pain in feet, but began to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086817 - feel blisters, so turned on Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086819 -  ..
086820 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086821 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086822 - Dinner - stew (roast beef carrots potatoes asparagus mushrooms, onion)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086824 -  ..
086825 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086830 -         ..
086831 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086832 -   83.  180324 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086833 -               0810....BP HR with Diff........................................... 138  73  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086834 -               0815....BP HR with Diff........................................... 142  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086835 -               0820....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086836 -               0820... 20 13480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086837 -               0820... 80 67020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086838 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086839 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086840 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086841 -         * cr  1325....miles...........  15.0  37.00  237  570 minutes temp  57 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086842 -               1755....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086843 -               1600....BP HR with Diff........................................... 113  78  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086844 -               1620....BP HR with Diff........................................... 112  69  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086845 -               1700... 40 30820 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086846 -               2100............ 10 9910  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086847 -               2100............ 10 9500  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086848 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086849 -               2130... 20 11560 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086850 -               2150... 1000 1087000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086851 -               2240... 80 67100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086853 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086855 -  ..
086856 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086857 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086859 -  ..
086860 - Pain medication - Norco, hydrocodone with acetamenophen - going for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086861 - 15 miles today, want to avoid having pain messing up the effort -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086862 - worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086864 -  ..
086865 - Blood pressure up today, before hiking despite not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086866 - gastrointestinal drugs last night; BP okay after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086867 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086869 -  ..
086870 - Double socks - nothing else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086872 -  ..
086873 - Calluses on both big toes.  Applied protective gel on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086874 - callus with white tape.  Nothing on right foot callus.  This worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086875 - well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086877 -  ..
086878 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086879 - protective gel dressing with white tape.  Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086881 -  ..
086882 - Tailor's Bunion left foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086883 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086885 -  ..
086886 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086887 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086889 -  ..
086890 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086891 - ref SDS 22 HG3F  Energy okay starting with good pace because pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086892 - level 0 in calfs and tendons; time to 1.25 miles 17 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086893 - Maintained pace on Clayton concrete sidewalks.  Mile 2 felt slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086894 - burning sensation mostly bottom right foot, less in left foot.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086895 - pace and raised right leg forefoot to reduce pressure.  This helped.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086896 - Mile 3.25 turned corner onto Ygnacio Valley Road.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086897 - concrete sidewalk to mile 3.5 then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086898 - Increased pace and became aware of slight disorientation (i.e.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086899 - staggering) - likely affects hydrocodone.  Time to 4.25 miles 66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086900 - minutes.  Increased pace on Ygnacio Valley Road.  At Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086901 - Road turned left and did 4 mile loop.  Maintained fast pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086902 - uphill for 1 mile.  Taking hydrocodone pill today, was effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086903 - Good pace going uphill Rolling Woods Way - maintained up to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086904 - Going downhill Rolling Woods Way to Pine Hollow slowed pace to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086905 - injury to knees.  Increased pace on Pine Hollow for 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086906 - Ygnacio Valley Road.  Turned onto Ygnacio Valley Road.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086907 - back to Crystal Ranch Road completing 4 mile loop.  Felt strong hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086908 - uphill against the wind to Cowell.  Both knees and both feet seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086909 - okay, so continued on Ygnacio Valley Road uphill against very severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086910 - headwind to top of summit.  Going downhill against strong wind again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086911 - noticed feeling of disorientation (slight stagger) due to hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086912 - this morning.  Nearing Oak Grove wind seemed to back off, so increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086913 - pace.  Turned corner onto Oak Grove.  Good pace on Oak Grove with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086914 - slight tail wind.  Hiked 1 mile and turned corner onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086915 - Increased pace going uphill on Treat.  Disappointed there was only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086916 - slight tail wind going East, despite severe headwind going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086917 - Ygnacio Valley Road.  Maintained good pace to end of hike, including 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086918 - mile around Cuneo, Kaski, and Cowell, back to Treat.  Still had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086919 - energy, and felt well at end of 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086921 -  ..
086922 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086923 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086924 - Dinner - corned beef carrots potatoes asparagus onion, chips cashews                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086926 -  ..
086927 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086931 -         ..
086932 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086933 -   84.  180325 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086934 -               0810....BP HR with Diff........................................... 132  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086935 -               0815....BP HR with Diff........................................... 138  73  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086936 -               0820....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086937 -               0820... 20 13480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086938 -               0820... 80 67020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086939 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086940 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086941 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086942 -         * cr  1130....miles...........  11.0  48.00  168  738 minutes temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086943 -               1505....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086944 -               1515....BP HR with Diff........................................... 121  76  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086945 -               1520....BP HR with Diff........................................... 123  71  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086946 -               1630... 40 30820 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086947 -               1910............ 10 9910  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086948 -               1910............ 10 9500  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086949 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086950 -               2030... 20 11560 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086951 -               2030... 1000 1087000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086952 -               2120... 80 67100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086954 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086956 -  ..
086957 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086958 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086960 -  ..
086961 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086963 -  ..
086964 - Blood pressure better today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086965 - gastrointestinal drugs last night; BP okay after hike for distance and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086966 - temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086968 -  ..
086969 - Double socks - nothing else.  Re-injured ring toe and little toe on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086970 - left foot.  Will have to apply gel protection tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086972 -  ..
086973 - Calluses on both big toes.  Applied protective gel on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086974 - callus with white tape.  Nothing on right foot callus.  This worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086975 - well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086977 -  ..
086978 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086979 - protective gel dressing with white tape.  Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086981 -  ..
086982 - Tailor's Bunion left foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086983 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086985 -  ..
086986 - Tailor's Bunion right foot no dressing; this caused pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086987 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086989 -  ..
086990 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086991 - ref SDS 22 HG3F  Energy okay starting with good pace because pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086992 - level 0 in calfs and tendons; time to 1.25 miles 18 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086993 - Maintained pace on Clayton concrete sidewalks.  Mile 2 felt slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086994 - burning sensation mostly bottom right foot, less in left foot.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086995 - pace but did not need to raise right leg forefoot to reduce pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086996 - Mile 3.25 turned corner onto Ygnacio Valley Road.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086997 - concrete sidewalk to mile 3.5 then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086998 - Burning sensation resolved, so increased pace.  Time to 4.25 miles 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086999 - minutes.  Maintained pace on Ygnacio Valley Road.  At Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087000 - Road turned left and did 4 mile loop.  Maintained pace going uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087001 - for 1 mile.  Going downhill from summit caused pressure in knees,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087002 - so slowed pace.  Increased pace going uphill Rolling Woods Way -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087003 - maintained up to summit.  Going downhill Rolling Woods Way to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087004 - Hollow slowed pace to prevent injury to knees.  Felt fatigue, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087005 - increased pace on Pine Hollow for 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087006 - Turned onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087007 - Road completing 4 mile loop.  Tired and left foot pain level 3 ring to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087008 - and little toe hiking uphill to Cowell.  Turned onto Cowell and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087009 - home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087011 -  ..
087012 - Breakfast - cream of wheat few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087013 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087014 - Dinner - tuna avocado onion tomato beets mushrooms cumcumbers celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087016 -  ..
087017 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087021 -         ..
087022 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087023 -   85.  180326 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087024 -               0800....BP HR with Diff........................................... 118  67  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087025 -               0805....BP HR with Diff........................................... 117  67  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087026 -               0820....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087027 -               0820... 20 13500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087028 -               0820... 80 67180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087029 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087030 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087031 -               0900... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087032 -         * cr  1230....miles...........  11.0  11.00  164  164 minutes temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087033 -               1540....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087034 -               1550....BP HR with Diff........................................... 118  70  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087035 -               1555....BP HR with Diff........................................... 120  75  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087036 -               1630... 40 30860 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087037 -             1 0000............ 10 9910  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087038 -             1 0000............ 10 9500  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087039 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087040 -               1930... 20 11580 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087041 -               1950... 1000 1088000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087042 -               2020... 80 67260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087044 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087046 -  ..
087047 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087048 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087050 -  ..
087051 - Pain medication - Norco, hydrocodone with acetamenophen - going for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087052 - 15 miles today, want to avoid having pain messing up the effort -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087053 - did not work well, could only do 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087055 -  ..
087056 - Blood pressure much better today, before hiking after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087057 - additional gastrointestinal drugs last night; BP higher than normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087058 - today after hike for distance and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087060 -  ..
087061 - Double socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087063 -  ..
087064 - Callus on left foot big toe - applied protective wrap purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087065 - Long's Drugs; it has gel within material.  Seemed to work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087067 -  ..
087068 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087069 - protective gel dressing with white tape.  Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087071 -  ..
087072 - Tailor's Bunion left foot applied dressing that slips over little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087073 - Seemed like pain level 0 entire route, but left generally elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087074 - pain caused doing only 11 miles instead of planned 15 after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087075 - hydrocodone this morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087077 -  ..
087078 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087079 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087081 -  ..
087082 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087083 - ref SDS 22 HG3F  Energy okay starting with good pace because pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087084 - level 0 in calfs and tendons; time to 1.25 miles 17 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087085 - Maintained pace on Clayton concrete sidewalks.  Mile 2 felt slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087086 - burning sensation mostly bottom right foot, less in left foot.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087087 - pace but did not need to raise right leg forefoot to reduce pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087088 - Mile 3.25 turned corner onto Ygnacio Valley Road.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087089 - concrete sidewalk to mile 3.5 then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087090 - Burning sensation resolved, so increased pace.  Time to 4.25 miles 64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087091 - minutes.  Maintained pace on Ygnacio Valley Road.  At Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087092 - Road turned left and did 4 mile loop.  Maintained pace going uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087093 - for 1 mile.  Going downhill from summit caused less pressure in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087094 - knees.  Still slowed pace.  Increased pace going uphill Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087095 - Way - maintained up to summit.  Going downhill Rolling Woods Way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087096 - Pine Hollow slowed pace to prevent injury to knees.  Increased pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087097 - Pine Hollow for 1 mile back to Ygnacio Valley Road.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087098 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087099 - completing 4 mile loop.  Despite taking hydrocodone this morning, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087100 - foot pain level 3 ring to and little toe hiking uphill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087101 - Turned onto Cowell and hiked home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087103 -  ..
087104 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087105 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087106 - Dinner - noodles roast beef carrots onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087108 -  ..
087109 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087113 -         ..
087114 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087115 -   86.  180327 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087116 -               0920....BP HR with Diff........................................... 133  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087117 -               0925....BP HR with Diff........................................... 126  74  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087118 -               0925....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087119 -               0925... 20 13520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087120 -               0925... 80 67340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087121 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087122 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087123 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087124 -         * cr  1300....miles...........  11.0  22.00  170  334 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087125 -               1610....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087126 -               1625....BP HR with Diff........................................... 107  78 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087127 -               1655....BP HR with Diff...........................................  97  74 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087128 -               1700... 40 30900 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087129 -               2100............ 10 9920  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087130 -               2100............ 10 9510  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087131 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087132 -               1930... 20 11600 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087133 -               1950... 1000 1089000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087134 -               2020... 80 67520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087136 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087138 -  ..
087139 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087140 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087142 -  ..
087143 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087145 -  ..
087146 - Blood pressure okay today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087147 - gastrointestinal drugs last night; BP okay after hike for distance and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087148 - temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087150 -  ..
087151 - Double socks - left foot little toe and ring goe applied protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087152 - wrap purchased from Long's Drugs; it has gel within material.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087153 - to work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087155 -  ..
087156 - Callus left foot big toe - applied protective gel with white tape -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087157 - worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087159 -  ..
087160 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087161 - protective gel dressing with white tape.  Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087163 -  ..
087164 - Tailor's Bunion left foot - no dressing.  Will need dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087166 -  ..
087167 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087168 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087170 -  ..
087171 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087172 - do extra 1 mile at the end.  Starting energy seemed good, pace normal,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087173 - time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087174 - concrete sidewalk.  No burning sensation today.  Mile 2 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087175 - plantar plate injury pain level 2.  Turned corner at mile 3.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087176 - continued pace on concrete sidewalk.  Hiked to mile 3.5, then switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087177 - to asphault roadway.  Everything pain level 0.  Time to mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087178 - minutes.  Increased pace continuing on Ygnacio Valley Road.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087179 - okay, so turned corner on Crystal Ranch Road and did extra 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087180 - loop.  Maintained pace hiking to summit without breaking stride -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087181 - seemed easier than yesterday.  Slowed pace at summit on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087182 - Increased pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087183 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087184 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087185 - downhill slopes.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087186 - up steep hill for .3 miles.  Was again able to maintain good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087187 - going downhill to Pine Hollow.  Turned corner and hiked 1 mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087188 - normal pace on flat ground.  Turned corner onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087189 - hiking back to complete 4-mile loop to Crystal Ranch Road.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087190 - uphill toward Cowell, felt very good, no pain in feet, but began to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087191 - feel blisters, so turned on Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087194 -  ..
087195 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087196 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087197 - Dinner - lettuce onion tomato avocato cumcumber mushrooms, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087198 - milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087200 -  ..
087201 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087205 -         ..
087206 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087207 -   87.  180328 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087208 -               0805....BP HR with Diff........................................... 135  76  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087209 -               0810....BP HR with Diff........................................... 132  72  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087210 -               0825....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087211 -               0825... 20 13540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087212 -               0825... 80 67500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087213 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087214 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087215 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087216 -         * cr  0910....miles...........  11.0  33.00  164  498 minutes temp  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087217 -               1210....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087218 -               1230....BP HR with Diff........................................... 101  78 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087219 -               1235....BP HR with Diff........................................... 111  74  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087220 -               1700... 40 30900 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087221 -             1 0000............ 10 9920  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087222 -             1 0000............ 10 9510  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087223 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087224 -               0000... 20 11600 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087225 -               2030... 1000 1091000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087226 -               2110... 80 67580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087228 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087230 -  ..
087231 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087232 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087234 -  ..
087235 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087237 -  ..
087238 - Blood pressure okay today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087239 - gastrointestinal drugs last night; BP okay after hike for distance and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087240 - temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087242 -  ..
087243 - Double socks - left foot little toe and ring goe applied protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087244 - wrap purchased from Long's Drugs; it has gel within material.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087245 - to work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087247 -  ..
087248 - Callus left foot big toe - applied protective gel with white tape -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087249 - worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087251 -  ..
087252 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087253 - protective gel dressing with white tape.  Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087255 -  ..
087256 - Tailor's Bunion left foot - no dressing.  Will need dressing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087258 -  ..
087259 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087260 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087262 -  ..
087263 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087264 - do extra 1 mile at the end.  Starting energy seemed good, pace normal,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087265 - time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087266 - concrete sidewalk.  No burning sensation today.  Mile 2 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087267 - plantar plate injury pain level 2.  Turned corner at mile 3.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087268 - continued pace on concrete sidewalk.  Hiked to mile 3.5, then switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087269 - to asphault roadway.  Everything pain level 0.  Time to mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087270 - minutes.  Increased pace continuing on Ygnacio Valley Road.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087271 - okay, so turned corner on Crystal Ranch Road and did extra 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087272 - loop.  Maintained pace hiking to summit without breaking stride -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087273 - seemed easier than yesterday.  Slowed pace at summit on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087274 - Increased pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087275 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087276 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087277 - downhill slopes.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087278 - up steep hill for .3 miles.  Was again able to maintain good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087279 - going downhill to Pine Hollow.  Turned corner and hiked 1 mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087280 - normal pace on flat ground.  Turned corner onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087281 - hiking back to complete 4-mile loop to Crystal Ranch Road.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087282 - uphill toward Cowell, okay with no pain in feet.  Turned on Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087283 - hiked home in time to leave for Nipomo visiting Bob meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087284 - Doctor Kochan in Sherman Oaks tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087286 -  ..
087287 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087288 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087289 - Dinner - hamburger some fries with Bob in Nipomo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087291 -  ..
087292 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087296 -         ..
087297 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087298 -   88.  180329 0530..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087299 -               0000....BP HR with Diff...........................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087300 -               0000....weight....................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087301 -               0000... 20 13560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087302 -               0540... 80 67660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087303 -               2140... 40 30940 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087304 -               2250............ 10 9930  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087305 -               2250............ 10 9520  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087306 -               2110... 20 11620 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087307 -               2130... 1000 1092000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087308 -               2250... 80 67740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087310 -  ..
087311 - Hiking - none, travel to Sherman Oaks meeting with Bob at Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087312 - Kochan's office.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087314 -  ..
087315 - Breakfast - egg mcmuffin at Burger King in Sherman Oaks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087316 - Lunch - Arby's roast beef sandwich in Santa Maria                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087317 - Dinner - lettuce onion tuna salmon cottage cheese tomato avocato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087318 - cumcumber mushrooms, cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087320 -  ..
087321 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087325 -         ..
087326 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087327 -   89.  180330 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087328 -               0910....BP HR with Diff........................................... 134  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087329 -               0915....BP HR with Diff........................................... 128  78  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087330 -               0920....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087331 -               0920... 20 13580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087332 -               0920... 80 67820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087333 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087334 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087335 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087336 -         * cr  1315....miles...........  11.0  44.00  171  669 minutes temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087337 -               1630....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087338 -               1640....BP HR with Diff........................................... 112  79 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087339 -               1645....BP HR with Diff........................................... 111  82  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087340 -               1710... 40 30980 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087341 -             1 0000............ 10 9930  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087342 -             1 0000............ 10 9520  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087343 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087344 -               2110... 20 11640 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087345 -               2130... 1000 1093000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087346 -               2220... 80 67900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087348 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087350 -  ..
087351 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087352 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087354 -  ..
087355 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087357 -  ..
087358 - Blood pressure okay today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087359 - gastrointestinal drugs last night; BP okay after hike for distance and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087360 - temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087362 -  ..
087363 - Double socks - no other protection on toes.  Began feeling left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087364 - little toe and ring toe about mile 10, so turned on Cowell for 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087365 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087367 -  ..
087368 - Callus left foot big toe - no protection; seemed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087370 -  ..
087371 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087372 - protective gel dressing with white tape.  Worked okay until mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087373 - then began blistering, so turned on Cowell for 10 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087375 -  ..
087376 - Tailor's Bunion left foot - no dressing.  Worked okay until mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087377 - then began blistering, so turned on Cowell for 10 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087379 -  ..
087380 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087381 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087383 -  ..
087384 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087385 - do extra 1 mile at the end.  Starting energy low so slow pace; time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087386 - 1.25 miles 19 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087387 - sidewalk.  Mile 1.75 burning sensation began along right edge of right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087388 - foot below little toe.  Mile 2.5 burning sensation across bottom of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087389 - forefoot both left and right foot, about pain level 2, so slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087390 - further.  Turned corner at mile 3.25 continued pace on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087391 - sidewalk.  Hiked to mile 3.5, then switched to asphault roadway.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087392 - to mile 4.25 67 minutes.  Burning sensation began reducing.  Mile 4.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087393 - burning sensation fully resolved pain level 0.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087394 - continuing on Ygnacio Valley Road.  Felt okay, so turned corner on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087395 - Crystal Ranch Road and did extra 4-mile loop.  Fast pace hiking to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087396 - summit without breaking stride - felt very good.  Slowed pace at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087397 - summit on flat ground.  Increased pace on downhill, indicating knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087398 - recovering with PRP treatments on 170726, and on 180105, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087399 - previously advancing osteoarthritis pain required going very slow with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087400 - short steps on downhill slopes.  Turned onto Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087401 - Increased pace going up steep hill for .3 miles.  Was again able to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087402 - maintain good pace going downhill to Pine Hollow.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087403 - hiked 1 mile at normal pace on flat ground.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087404 - Ygnacio Valley Road hiking back to complete 4-mile loop to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087405 - Ranch Road.  Hiking uphill toward Cowell began feeling left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087406 - callus on big toe, ring toe and little toe, and blister below big toe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087407 - turned on Cowell and hiked home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087409 -  ..
087410 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087411 - Lunch - half sandwich ham and cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087412 - Dinner - noodles roast beef carrots onion, ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087414 -  ..
087415 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087419 -         ..
087420 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087421 -   90.  180331 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087422 -               0830....BP HR with Diff........................................... 120  69  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087423 -               0835....BP HR with Diff........................................... 122  70  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087424 -               0840....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087425 -               0840... 20 13600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087426 -               0840... 80 67980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087427 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087428 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087429 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087430 -               1720... 40 31000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087431 -               2020............ 10 9940  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087432 -               2020............ 10 9530  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087433 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087434 -               2140... 20 11660 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087435 -               2200... 1000 1094000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087436 -               2250... 80 68060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087438 -  ..
087439 - Hiking - none, resting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087441 -  ..
087442 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087443 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087444 - Dinner - noodles roast beef carrots onion, ensure cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087446 -  ..
087447 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087451 -         ..
087452 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087453 -   91.  180401 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087454 -               0830....BP HR with Diff........................................... 144  80  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087455 -               0835....BP HR with Diff........................................... 147  73  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087456 -               0840....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087457 -               0840... 20 13620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087458 -               0840... 80 68140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087459 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087460 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087461 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087462 -         * cr  1235....miles...........  11.0  55.00  176  845 minutes temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087463 -               1605....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087464 -               1610....BP HR with Diff........................................... 114  76 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087465 -               1615....BP HR with Diff........................................... 117  74  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087466 -               1810... 40 31040 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087467 -             1 0000............ 10 9940  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087468 -             1 0000............ 10 9530  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087469 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087470 -               2110... 20 11680 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087471 -               2130... 1000 1095000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087472 -               2220... 80 68220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087474 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087476 -  ..
087477 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087478 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087480 -  ..
087481 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087483 -  ..
087484 - Blood pressure much better today, before hiking after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087485 - additional gastrointestinal drugs last night; BP higher than expected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087486 - after hike for distance and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087488 -  ..
087489 - Double socks - left foot little toe and ring goe applied protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087490 - wrap purchased from Long's Drugs; it has gel within material.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087491 - to work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087493 -  ..
087494 - Callus left foot big toe - applied protective gel with white tape -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087495 - worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087497 -  ..
087498 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087499 - protective gel dressing with white tape.  Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087501 -  ..
087502 - Tailor's Bunion left foot applied dressing that slips over little toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087503 - Pain level 0 most of route, but if step somehow wrong, e.g., foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087504 - twists for some reason, there is momentary pain level 4 or so for only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087505 - a few steps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087507 -  ..
087508 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087509 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087511 -  ..
087512 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087513 - do extra 1 mile at the end.  Starting energy seemed low, pace slow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087514 - but time to 1.25 miles 18 minutes.  Maintained slow pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087515 - hiking on concrete sidewalk and with temperature near 80.  Mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087516 - right foot burning sensation across ball of foot.  Mile 2.5 burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087517 - sensation spread to ball of left foot.  Plantar plate injury pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087518 - level 0 entire route.  Turned corner at mile 3.25 continued pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087519 - concrete sidewalk.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087520 - roadway.  Time to mile 4.25 68 minutes.  Mile 4.5 burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087521 - both feet subsides.  Increased pace continuing on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087522 - Felt okay, so at mile 4.75 turned corner on Crystal Ranch Road and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087523 - extra 4-mile loop.  Hiking uphill good pace all the way 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087524 - summit without breaking stride.  Slowed pace at summit on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087525 - Increased pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087526 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087527 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087528 - downhill slopes.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087529 - up steep hill for .3 miles and breathed through nose entire way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087530 - indicating increased pulmonary/cardiovascular function.  Was again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087531 - able to maintain good pace going downhill to Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087532 - corner and hiked 1 mile at normal pace on flat ground.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087533 - onto Ygnacio Valley Road hiking back to complete 4-mile loop to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087534 - Crystal Ranch Road.  Hiking uphill toward Cowell, okay with no pain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087535 - feet.  Turned on Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087537 -  ..
087538 - Breakfast - cream of wheat rasins - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087539 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087540 - Dinner - corned beef carrots potatoes brocolli onion, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087541 - ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087543 -  ..
087544 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087548 -         ..
087549 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087550 -   92.  180402 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087551 -               0750....BP HR with Diff........................................... 140  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087552 -               0755....BP HR with Diff........................................... 143  80  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087553 -               0800....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087554 -               0800... 20 13640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087555 -               0800... 80 68300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087556 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087557 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087558 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087559 -         * cr  1105....miles...........  11.0  11.00  165  165 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087560 -               1430....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087561 -               1440....BP HR with Diff........................................... 111  65  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087562 -               1500....BP HR with Diff........................................... 106  66  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087563 -               1700... 40 31080 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087564 -               2100............ 10 9950  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087565 -               2100............ 10 9540  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087566 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087567 -               2110... 20 11700 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087568 -               2130... 1000 1096000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087569 -               2220... 80 68380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087571 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087573 -  ..
087574 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087575 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087577 -  ..
087578 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087580 -  ..
087581 - Blood pressure much worse today, before hiking after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087582 - additional gastrointestinal drugs last night; BP normal after hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087583 - distance and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087585 -  ..
087586 - Double socks - left foot omitted on little toe and ring goe protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087587 - wrap purchased from Long's Drugs; it has gel within material.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087588 - foot wrapped with felt wool cloth to separate toes, and relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087589 - pressure on ball of foot.  Seemed to work - there was less burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087590 - sensation on ball of right foot.  However, there was a feeling of a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087591 - lump in the middle of the ball of the foot - very annoying.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087593 -  ..
087594 - Callus left foot big toe - applied protective gel with white tape -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087595 - worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087597 -  ..
087598 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087599 - protective gel dressing with white tape.  Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087601 -  ..
087602 - Tailor's Bunion left foot - only double socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087604 -  ..
087605 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087606 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087608 -  ..
087609 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087610 - do extra 1 mile at the end.  Starting energy good, fast pace.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087611 - 1.25 miles 17 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087612 - sidewalk.  Mile 2 right foot only slight burning sensation across ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087613 - of foot.  Mile 2.5 burning sensation spread to ball of left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087614 - plantar plate injury pain level 1.  Turned corner at mile 3.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087615 - continued pace on concrete sidewalk.  Hiked to mile 3.5, then switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087616 - to asphault roadway.  Burning sensation left and right foot subsides,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087617 - and plantar plate pain level 0.  Time to mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087618 - Increased pace continuing on Ygnacio Valley Road.  Felt okay, so at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087619 - mile 4.75 turned corner on Crystal Ranch Road and did extra 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087620 - loop.  Hiking uphill good pace all the way 1 mile to summit without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087621 - breaking stride.  Maintained pace at summit on flat ground, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087622 - continued good pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087623 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087624 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087625 - downhill slopes.  Turned onto Rolling Woods Way.  Maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087626 - going up steep hill for .3 miles.  Maintained good pace going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087627 - to Pine Hollow.  Turned corner and hiked 1 mile at normal pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087628 - ground.  Turned corner onto Ygnacio Valley Road hiking back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087629 - complete 4-mile loop to Crystal Ranch Road.  Hiking uphill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087630 - Cowell, felt blisters on little toe and ring toe left foot.  Turned on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087631 - Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087633 -  ..
087634 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087635 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087636 - Dinner - eggs ham cheese onion toast, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087638 -  ..
087639 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087643 -         ..
087644 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087645 -   93.  180403 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087646 -               0850....BP HR with Diff........................................... 133  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087647 -               0855....BP HR with Diff........................................... 129  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087648 -               0900....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087649 -               0900... 20 13660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087650 -               0900... 80 68460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087651 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087652 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087653 -               0900... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087654 -         * cr  1205....miles...........  11.0  22.00  163  328 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087655 -               1525....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087656 -               1540....BP HR with Diff...........................................  99  65  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087657 -               1545....BP HR with Diff........................................... 101  72  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087658 -               1700... 40 31120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087659 -             1 0000............ 10 9950  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087660 -             1 0000............ 10 9540  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087661 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087662 -               2110... 20 11720 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087663 -               2130... 1000 1097000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087664 -               2220... 80 68540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087666 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087668 -  ..
087669 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087670 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087672 -  ..
087673 - Pain medication - hydrocodone, worked pretty well, but breakthrough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087674 - pain right foot plantar plate, and burning sensation right foot only.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087675 - Blister pain left foot OA mile 8 to end of hike.  Not good result.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087677 -  ..
087678 - Blood pressure better today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087679 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087680 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087682 -  ..
087683 - Double socks - wrapped all toes with black felt cloth both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087684 - Worked pretty well about mile 8, then blister pain to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087685 - After removing shoes and socks found no blister bubbles, but hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087686 - 15 miles may have had worse result.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087688 -  ..
087689 - Callus left foot big toe - wrapped with black felt wool cloth, felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087690 - callus about mile 8 to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087692 -  ..
087693 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087694 - protective gel dressing with white tape.  Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087696 -  ..
087697 - Tailor's Bunion left foot - only double socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087699 -  ..
087700 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087701 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087703 -  ..
087704 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087705 - do extra 1 mile at the end.  Starting energy good, fast pace.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087706 - 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087707 - sidewalk.  Mile 2 right foot only slight burning sensation across ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087708 - of foot.  Mile 2.5 burning sensation spread to ball of left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087709 - plantar plate injury pain level 1.  Turned corner at mile 3.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087710 - continued pace on concrete sidewalk.  Hiked to mile 3.5, then switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087711 - to asphault roadway.  Burning sensation left and right foot subsides,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087712 - and plantar plate pain level 0.  Time to mile 4.25 65 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087713 - Increased pace continuing on Ygnacio Valley Road.  Felt okay, so at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087714 - mile 4.75 turned corner on Crystal Ranch Road and did extra 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087715 - loop.  Hiking uphill good pace all the way 1 mile to summit without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087716 - breaking stride.  Maintained pace at summit on flat ground, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087717 - continued good pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087718 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087719 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087720 - downhill slopes.  Turned onto Rolling Woods Way.  Maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087721 - going up steep hill for .3 miles.  Maintained good pace going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087722 - to Pine Hollow.  Turned corner and hiked 1 mile at normal pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087723 - ground.  Turned corner onto Ygnacio Valley Road hiking back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087724 - complete 4-mile loop to Crystal Ranch Road.  Hiking uphill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087725 - Cowell, felt blisters on little toe and ring toe left foot.  Turned on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087726 - Cowell and hiked home.  Ran about .25 miles on Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087728 -  ..
087729 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087730 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087731 - Dinner - macaroni cheese corned beef onion avocado tomato mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087733 -  ..
087734 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087738 -         ..
087739 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087740 -   94.  180404 0900..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087741 -               0950....BP HR with Diff........................................... 126  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087742 -               0955....BP HR with Diff........................................... 118  76  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087743 -               1000....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087744 -               1000... 20 13680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087745 -               1000... 80 68620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087746 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087747 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087748 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087749 -               1740... 40 31160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087750 -               2125............ 10 9960  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087751 -               2125............ 10 9550  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087752 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087753 -               2230... 20 11740 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087754 -               2230... 1000 1098000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087755 -               2320... 80 68700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087757 -  ..
087758 - Blood pressure much better today, before hiking after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087759 - additional gastrointestinal drugs last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087761 -  ..
087762 - Hiking - none, resting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087764 -  ..
087765 - Breakfast - cream of wheat - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087766 - Lunch - half sandwich ham cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087767 - Dinner - macaroni cheese corned beef onion avocado tomato mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087769 -  ..
087770 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087775 -         ..
087776 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087777 -   95.  180405 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087778 -               0850....BP HR with Diff........................................... 127  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087779 -               0855....BP HR with Diff........................................... 124  72  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087780 -               0900....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087781 -               0900... 20 13700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087782 -               0900... 80 68780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087783 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087784 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087785 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087786 -         * cr  1215....miles...........  11.0  33.00  172  500 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087787 -               1550....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087788 -               1555....BP HR with Diff........................................... 114  75  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087789 -               1600....BP HR with Diff........................................... 105  75  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087790 -               1700... 40 31200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087791 -             1 0000............ 10 9960  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087792 -             1 0000............ 10 9550  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087793 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087794 -               2040... 20 11760 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087795 -               2110... 1000 1099000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087796 -               2310... 80 68860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087798 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087800 -  ..
087801 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087802 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087804 -  ..
087805 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087807 -  ..
087808 - Blood pressure okay today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087809 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087810 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087812 -  ..
087813 - Double socks - applied protective gel with white tape to little toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087814 - and ring toe both feet - worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087816 -  ..
087817 - Callus left foot big toe - no protection.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087819 -  ..
087820 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087821 - protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087823 -  ..
087824 - Tailor's Bunion left foot - only double socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087826 -  ..
087827 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087828 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087830 -  ..
087831 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087832 - do extra 1 mile at the end.  Starting energy okay.  Faster pace than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087833 - seemed; time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087834 - hiking on concrete sidewalk.  Mile 2 right foot only slight burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087835 - sensation across ball of foot.  Mile 2.5 minor burning sensation ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087836 - of left foot.  Turned corner at mile 3.25 continued pace on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087837 - sidewalk.  Feeling lump in middle of right foot - pain level 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087838 - Seemed adjacent to plantar plate injury, and as though protrusion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087839 - build into the orthotic insert to protect plantar plate was pressing a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087840 - ball of colligen.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087841 - roadway.  Burning sensation left and right foot subsides.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087842 - mile 4.25 67 minutes.  Lump middle right foot - seems like raised part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087843 - of orthotic insert pressing on lump of colligen where Doctor Tucker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087844 - injected to heal plantar plate tear on 170726 1600. ref SDS 58 HE4N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087845 - Maintained pace continuing on Ygnacio Valley Road.  At mile 4.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087846 - pressure middle bottom right foot seemed little less so decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087847 - turn corner on Crystal Ranch Road and try extra 4-mile loop.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087848 - uphill maintained good pace with pain level below 3 from pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087849 - middle bottom right foot all the way 1 mile to summit without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087850 - breaking stride.  Maintained pace at summit on flat ground, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087851 - continued good pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087852 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087853 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087854 - downhill slopes.  Turned onto Rolling Woods Way.  Maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087855 - going up steep hill for .3 miles with pain level less than 3 from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087856 - pressure on bottom of right foot where orthotic inserts are protruded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087857 - to protect plantar plate.  Maintained good pace going downhill to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087858 - Hollow.  Noticed pain on bottom of right foot finally subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087859 - Turned corner and hiked 1 mile at normal pace on flat ground.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087860 - corner onto Ygnacio Valley Road hiking back to complete 4-mile loop to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087861 - Crystal Ranch Road.  Hiking uphill toward Cowell, felt blisters on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087862 - little toe and ring toe left foot.  Turned on Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087863 - Ran again about .25 miles on Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087865 -  ..
087866 - Breakfast - cream of wheat - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087867 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087868 - Dinner - macaroni cheese corned beef onion avocado tomato mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087870 -  ..
087871 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087875 -         ..
087876 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087877 -   96.  180406 0910..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087878 -               1040....BP HR with Diff........................................... 129  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087879 -               1045....BP HR with Diff........................................... 129  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087880 -               1050....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087881 -               1050... 20 13720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087882 -               1050... 80 68940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087883 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087884 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087885 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087886 -               1930... 40 31240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087887 -               2040............ 10 9970  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087888 -               2040............ 10 9560  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087889 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087890 -               2150... 20 11780 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087891 -               2220... 1000 1100000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087892 -               2250... 80 69020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087894 -  ..
087895 - Blood pressure okay today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087896 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087897 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087899 -  ..
087900 - Hiking - none, let injuries heal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087902 -  ..
087903 - Breakfast - cream of wheat - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087904 - Lunch - eggs onion cheese ham toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087905 - Dinner - salmon brocolli onion tomato, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087907 -  ..
087908 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087912 -         ..
087913 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087914 -   97.  180407 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087915 -               0930....BP HR with Diff........................................... 135  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087916 -               0935....BP HR with Diff........................................... 127  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087917 -               0940....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087918 -               0940... 20 13740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087919 -               0940... 80 69180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087920 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087921 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087922 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087923 -               1740... 40 31280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087924 -             1 0000............ 10 9970  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087925 -             1 0000............ 10 9560  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087926 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087927 -               2010... 20 11800 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087928 -               2040... 1000 1101000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087929 -               2220... 80 69260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087931 -  ..
087932 - Blood pressure okay today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087933 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087934 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087936 -  ..
087937 - Hiking - none, let injuries heal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087939 -  ..
087940 - Breakfast - pancake strawberries bacon milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087941 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087942 - Dinner - hot dog cottage cheese onion tomato asparagus mushroom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087943 - chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087945 -  ..
087946 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087950 -         ..
087951 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087952 -   98.  180408 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087953 -               0900....BP HR with Diff........................................... 132  77  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087954 -               0905....BP HR with Diff........................................... 129  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087955 -               0920....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087956 -               0920... 20 13760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087957 -               0920... 80 69340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087958 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087959 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087960 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087961 -         * cr  1215....miles...........  11.0  44.00  169  669 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087962 -               1535....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087963 -               1540....BP HR with Diff........................................... 108  78 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087964 -               1600....BP HR with Diff........................................... 102  78  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087965 -               1700... 40 31320 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087966 -               2120............ 10 9980  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087967 -               2120............ 10 9570  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087968 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087969 -               2240... 20 11820 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087970 -               2300... 1000 1102000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087971 -               2340... 80 69420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087973 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087975 -  ..
087976 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087977 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087979 -  ..
087980 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087982 -  ..
087983 - Blood pressure okay today, before hiking after taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087984 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087985 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087987 -  ..
087988 - Double socks - applied protective caps little toe and ring toe both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087989 - feet - worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087991 -  ..
087992 - Orthotic inserts - switched to original pair purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087993 - On-the-Run.  The right insert has a small opening grooved into the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087994 - bottom that relieves pressure on plantar plate, reported on 170929                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087995 - 1010. ref SDS 65 DH8F  On 171210 1150 decided cutout on 171202 was too                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087996 - big, causing tensil pressure on plantar plate area, so hiked using new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087997 - Stable Elite 40 orthotic inserts received from On-the-Run on 171202,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087998 - and which have no cutout to relieve pressure on plantar plate, testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087999 - whether plantar plate healed; again felt severe pressure on plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088000 - plate area during hike, so after hike used electric drill to make                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088001 - small cutout to relieve pressure on plantar plate and will test next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088002 - day, reported in case study on 160101 0700, ref SDS 37 SUPP  This has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088003 - worked well until the past few days.  Today, switched back to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088004 - original pair and added padding to reduce tensile pressure on bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088005 - of right foot at plantar plate.  This seemed to work better today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088007 -  ..
088008 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088010 -  ..
088011 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088012 - protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088014 -  ..
088015 - Tailor's Bunion left foot - only double socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088017 -  ..
088018 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088019 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088021 -  ..
088022 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088023 - do extra 1 mile at the end.  Starting energy okay.  Faster pace than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088024 - seemed; time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088025 - hiking on concrete sidewalk.  Mile 2 right foot only slight burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088026 - sensation across ball of foot.  Turned corner at mile 3.25 continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088027 - pace on concrete sidewalk.  Did not feeling lump in middle of right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088028 - foot, as occurred prior hike on 180405, per above. ref SDS 37 QYSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088029 - Hiked to mile 3.5, then switched to asphault roadway.  Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088030 - sensation left and right foot subsides.  Time to mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088031 - Lump middle right foot - seems like raised part of orthotic insert                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088032 - pressing on lump of colligen where Doctor Tucker injected to heal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088033 - plantar plate tear on 170726 1600. ref SDS 58 HE4N  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088034 - continuing on Ygnacio Valley Road.  At mile 4.75 pressure middle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088035 - bottom right foot seemed little less so decided to turn corner on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088036 - Crystal Ranch Road and try extra 4-mile loop.  Hiking uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088037 - maintained good pace with pain level below 3 from pressure middle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088038 - bottom right foot all the way 1 mile to summit without breaking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088039 - stride.  Maintained pace at summit on flat ground, and continued good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088040 - pace on downhill, indicating knees recovering with PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088041 - 170726, and on 180105, because previously advancing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088042 - pain required going very slow with short steps on downhill slopes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088043 - Turned onto Rolling Woods Way.  Maintained good pace going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088044 - hill for .3 miles with pain level less than 3 from pressure on bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088045 - of right foot where orthotic inserts are protruded to protect plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088046 - plate.  Maintained good pace going downhill to Pine Hollow.  Noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088047 - pain on bottom of right foot finally subsided.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088048 - hiked 1 mile at normal pace on flat ground.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088049 - Ygnacio Valley Road hiking back to complete 4-mile loop to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088050 - Ranch Road.  Hiking uphill toward Cowell, felt blisters on little toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088051 - and ring toe left foot.  Turned on Cowell and hiked home.  Ran again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088052 - about .25 miles on Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088054 -  ..
088055 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088056 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088057 - Dinner - pork chops brocolli carrots potatoes, chocolate bar, ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088059 -  ..
088060 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088064 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088065 -   99.  180409 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088066 -               0805....BP HR with Diff........................................... 146  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088067 -               0815....BP HR with Diff........................................... 128  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088068 -               0820....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088069 -               0820... 20 13780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088070 -               0820... 80 69500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088071 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088072 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088073 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088074 -         * cr  1050....miles...........   9.0   9.00  137  137 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088075 -               1400....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088076 -               1410....BP HR with Diff........................................... 110  77  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088077 -               1420....BP HR with Diff........................................... 110  66  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088078 -               1700... 40 31360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088079 -             1 0000............ 10 9980  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088080 -             1 0000............ 10 9570  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088081 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088082 -               2010... 20 11840 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088083 -               2040... 1000 1103000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088084 -               2220... 80 69580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088086 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088088 -  ..
088089 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088090 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088092 -  ..
088093 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088095 -  ..
088096 - Blood pressure okay today, before hiking after taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088097 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088098 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088100 -  ..
088101 - Double socks - applied protective caps little toe and ring toe both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088102 - feet - worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088104 -  ..
088105 - Orthotic inserts - switched to orthotic inserts Doctor Tang developed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088106 - Worked sort of okay.  Mile 2 began bruning sensation along edge and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088107 - below balls of both feet.  There was no pressure on bulge in middle of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088108 - right foot, as occurred yesterday.  Mile 4.5 burning sensation ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088109 - so could hike up Crystal Ranch Road.  Tomorrow will try set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088110 - Satallite Elite orthotic inserts purchased from On-the-Run shoe store,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088111 - and which have no grove cut in the bottom, reported on 171229 1010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088112 - ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088114 -  ..
088115 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088116 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088118 -  ..
088119 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088120 - protection - will need protection tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088122 -  ..
088123 - Tailor's Bunion left foot - tried another protection scheme from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088124 - Long's Drugs - didn't work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088126 -  ..
088127 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088128 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088130 -  ..
088131 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088132 - do extra 1 mile at the end.  Starting energy okay.  Faster pace than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088133 - seemed; time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088134 - hiking on concrete sidewalk.  Stopped at Samar Tailoring &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088135 - Alternations.  Offered tailor $20 to sew the adjustable band on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088136 - hiking hat.  Yesterday, it pulled loose when trying to tighten it.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088137 - After getting a hair cut on Saturday, reported on 180407 0950,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088138 - ref SDS 86 0001, the diamter was too small.  Pulling the band tighter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088139 - caused it to pull loose from the hat, possibly due to washing the hat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088140 - 2 days ago.  The tailor did the job in 5 minutes while I waited.  He                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088141 - only charged $5.  Mile 2 right foot only slight burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088142 - across ball of foot.  Turned corner at mile 3.25 continued pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088143 - concrete sidewalk.  Did not feel lump in middle of right foot, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088144 - occurred prior hike on 180405, per above. ref SDS 37 QYSX  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088145 - mile 3.5, then switched to asphault roadway.  Burning sensation left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088146 - and right foot increased.  Time to mile 4.25 64 minutes.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088147 - pace continuing on Ygnacio Valley Road.  At mile 4.75 burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088148 - sensation seemed little less so decided to turn corner on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088149 - Ranch Road and try extra 4-mile loop.  Hiking uphill maintained good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088150 - pace with pain level 0 all the way 1 mile to summit without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088151 - breaking stride.  Maintained pace at summit on flat ground, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088152 - continued good pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088153 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088154 - osteoarthritis pain required going very slow with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088155 - downhill slopes.  Turned onto Rolling Woods Way.  Maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088156 - going up steep hill for .3 miles with pain level less than 3 from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088157 - pressure on bottom of right foot where orthotic inserts are protruded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088158 - to protect plantar plate.  Maintained good pace going downhill to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088159 - Hollow.  Noticed pain on bottom of right foot finally subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088160 - Turned corner and hiked 1 mile at normal pace on flat ground.  Called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088161 - Kathy to pick me up on Ygnacio Valley Road at Crystal Ranch Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088162 - complete 4 mile loop.  Turned corner onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088163 - Increased pace 1 mile hiking back to Crystal Ranch Road completing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088164 - 4-mile loop.  Kathy picked me up.  For some reason both knees better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088165 - today, particularly right knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088167 -  ..
088168 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088169 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088170 - Dinner - meatloaf brocolli mashed potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088172 -  ..
088173 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088177 -         ..
088178 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088179 -  100.  180410 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088180 -               0720....BP HR with Diff........................................... 123  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088181 -               0725....BP HR with Diff........................................... 129  69  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088182 -               0730....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088183 -               0730... 20 13800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088184 -               0730... 80 69660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088185 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088186 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088187 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088188 -         * cr  0910....miles...........  15.0  24.00  233  370 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088189 -               1345....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088190 -               1405....BP HR with Diff........................................... 106  76 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088191 -               1420....BP HR with Diff........................................... 109  79 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088192 -               1600... 40 31360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088193 -               2100............ 10 9990  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088194 -               2100............ 10 9580  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088195 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088196 -               2050... 20 11860 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088197 -               2130... 1000 1104000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088198 -               2250... 80 69740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088200 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088202 -  ..
088203 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088204 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088206 -  ..
088207 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088209 -  ..
088210 - Blood pressure good today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088211 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088212 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088214 -  ..
088215 - Double socks - applied protective caps little toe and ring toe both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088216 - feet - worked pretty well.  Cut strip of black felt/wool cloth and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088217 - weaved bewteen toes of right foot.  This transferred some pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088218 - from ball of foot to toes, reducing some burning sensation that has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088219 - been occurring.  Worked pretty well, but after 10 mile suffered pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088220 - level 6 on right foot, so had to stop hike and remove shoe and socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088221 - to remove the felt/wool strip from the toes.  Was then able to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088222 - complete next 5 miles of 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088224 -             ..
088225 -            [...below on 180412 1235 similar, but milder pain in ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088226 -            of right foot occurred; did not require stopping to remove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088227 -            shoe, socks and the felt/wool cloth strip wrapped between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088228 -            toes - reported in case study 180101 0820, ref SDS 0 RUYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088230 -  ..
088231 - Orthotic inserts - switched to orthotic inserts Doctor Tang developed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088232 - Worked sort of okay.  Mile 2 began bruning sensation along edge and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088233 - below balls of both feet.  There was no pressure on bulge in middle of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088234 - right foot, as occurred yesterday.  Mile 4.5 burning sensation ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088235 - so could hike up Crystal Ranch Road.  Tomorrow will try set of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088236 - Satallite Elite orthotic inserts purchased from On-the-Run shoe store,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088237 - and which have no grove cut in the bottom, reported on 171229 1010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088238 - ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088240 -  ..
088241 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088242 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088244 -  ..
088245 - Blister recurred on 180216, per above. ref SDS 37 DA4M  Applied no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088246 - protection - will need protection tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088248 -  ..
088249 - Tailor's Bunion left foot - cut circular pad with hole in middle in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088250 - half.  Cut each half down a little.  Kathy is here today.  She placed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088251 - each haf circule on bottom and top of bunion protrusion.  Added lamb's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088252 - wool between the 2 halfs and secured with white tape.  This reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088253 - shoe pressure on the edge of the forefoot.  Worked well today, but is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088254 - very difficult to apply without help.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088256 -  ..
088257 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088258 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088260 -  ..
088261 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088262 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088263 - Faster pace than seemed; time to 1.25 miles 17 minutes.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088264 - pace on Clayton hiking on concrete sidewalk.  Stopped at Samar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088265 - Tailoring & Alternations.  Offered tailor $20 to sew the adjustable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088266 - band on the hiking hat.  Yesterday, it pulled loose when trying to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088267 - tighten it.  After getting a hair cut on Saturday, reported on 180407                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088268 - 0950, ref SDS 86 0001, the diamter was too small.  Pulling the band                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088269 - tighter caused it to pull loose from the hat, possibly due to washing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088270 - the hat 2 days ago.  The tailor did the job in 5 minutes while I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088271 - waited.  He only charged $5.  Mile 2 right foot only slight burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088272 - sensation across ball of foot.  Turned corner at mile 3.25 continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088273 - pace on concrete sidewalk.  Did not feel lump in middle of right foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088274 - as occurred prior hike on 180405, per above. ref SDS 37 QYSX  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088275 - mile 3.5, then switched to asphault roadway.  Burning sensation left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088276 - and right foot increased.  Time to mile 4.25 64 minutes.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088277 - pace continuing on Ygnacio Valley Road.  At mile 4.75 burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088278 - sensation seemed little less so decided to turn corner on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088279 - Ranch Road and try extra 4-mile loop.  Hiking uphill maintained good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088280 - pace with pain level 0 all the way 1 mile to summit without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088281 - breaking stride.  Maintained pace at summit on flat ground, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088282 - continued good pace on downhill, indicating knees recovering with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088283 - treatments on 170726, and on 180105, because previously advancing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088284 - osteoarthritis pain required going very slowly with short steps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088285 - downhill slopes.  Turned onto Rolling Woods Way.  Maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088286 - going up steep hill for .3 miles with pain level less than 3 from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088287 - pressure on bottom of right foot where orthotic inserts are protruded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088288 - to protect plantar plate.  Maintained good pace going downhill to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088289 - Hollow.  Noticed pain on bottom of right foot finally subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088290 - Turned corner and hiked 1 mile on Pine Hollow at normal pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088291 - ground.  Turned corner onto Ygnacio Valley Road and hiked back toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088292 - Crystal Ranch Road.  Before reaching Campus Commons entrance to Cal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088293 - State College, severe pain level 6 occurred on right foot.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088294 - and sat on a guard rail post.  Removed right shoe and socks.  Removed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088295 - felt/wool cloth strip added this morning to relieve pressure on ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088296 - of foot.  This was helpful earlier in hike to minimize burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088297 - sensation while hiking on Clayton.  Replaced socks and shoe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088298 - Continued hike.  Pain did not recur.  Hiked past Crystal Ranch Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088299 - complete 4-mile loop.  Continued up Ygnacio Valley Road.  Felt good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088300 - so hiked past Cowell, rather than turn for 11 mile hike.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088301 - pace to summit.  Maintained pace for 2 miles on downhill side.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088302 - corner onto Oak Grove.  Hiked 1 mile to Treat; sprinted about 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088303 - yards to make street light.  Beginning to feel effects of going for 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088304 - mile hike.  Continued on Treat.  Maintained good pace going uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088305 - Treat to Cuneo.  Hiked 1 mile around block on Kaski and Cowell, back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088306 - to Treat and Cuneo to end hike.  Pleased to finally do another 15 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088307 - hike, first since last month on 180324, per above. ref SDS 37 W76M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088309 -  ..
088310 - Breakfast - NPO for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088311 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088312 - Dinner - hot dog cottage cheese onion tomato brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088314 -  ..
088315 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088319 -         ..
088320 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088321 -  101.  180411 0220..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088322 -               0240....BP HR with Diff........................................... 124  73  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088323 -               0245....BP HR with Diff........................................... 122  75  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088324 -               0300....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088325 -               0000... 20 13800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088326 -               0000... 80 69820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088327 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088328 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088329 -               0430....miles...........  12.0  36.00  180  550 minutes temp  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088330 -               0745....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088331 -               0745....BP HR with Diff........................................... 109  71 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088332 -               0820... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088333 -               0820... 40 31400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088334 -               1730... 40 31440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088335 -             1 0000............ 10 9990  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088336 -             1 0000............ 10 9580  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088337 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088338 -               1940... 20 11880 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088339 -               2020... 1000 1105000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088340 -               2140... 80 69820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088342 -  ..
088343 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088344 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088346 -  ..
088347 - Pain medication - none; after hike took hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088349 -  ..
088350 - Blood pressure good today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088351 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088352 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088354 -  ..
088355 - Double socks - applied protective caps little toe and ring toe both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088356 - feet - worked pretty well.  Cut strip of black felt/wool cloth and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088357 - weaved bewteen toes of right foot.  This transferred some pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088358 - from ball of foot to toes, reducing some burning sensation that has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088359 - been occurring.  Worked pretty well, but after 8 miles suffered pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088360 - level 3 on right foot.  Kept hiking, and this pain subsided so able                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088361 - to complete hike without removing the strip.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088363 -  ..
088364 - Toe caps recommended by Mark Wachter at On-the-Run.  These have worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088365 - well, but 2nd half of hike this morning noticed pain in right side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088366 - right foot.  When shoe and sock was removed on right foot after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088367 - and returning from VAMCSF, noticed little toe was injured.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088369 -  ..
088370 - Orthotic inserts - switched to Satallite Elite orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088371 - purchased from On-the-Run shoe store, and which have no grove cut in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088372 - the bottom, reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088374 -  ..
088375 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088376 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088378 -  ..
088379 - Blister bottom left foot below big toe recurred on 180216, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088380 - ref SDS 37 DA4M - applied protective gel with white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088382 -  ..
088383 - Blister bottom right foot below big toe recurred - applied protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088384 - gel with white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088386 -  ..
088387 - Tailor's Bunion left foot - left in place protection dressing applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088388 - yesterday, per above. ref SDS 37 RSTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088390 -  ..
088391 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088392 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088394 -  ..
088395 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088396 - Weather was good:  cool with strong Westerly wind.  Light traffic at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088397 - 0430, so could hike on asphault paved street, rather than hard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088398 - concrete sidewalk.  Walking downhill from the VA on 42nd street, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088399 - Point Lobos, there was a big guy walking uphill and in the street,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088400 - rather than on the sidewalk.  This is unusual at 0430, so was cautious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088401 - passing this guy - just said good morning.  He was struggling going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088402 - uphill very slowly.  No problems.  At the foot of the road turning the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088403 - corner onto Point Lobos, across the street was another guy.  He was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088404 - quite animated going back and forth as if on drugs.  After making the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088405 - turn checked several times behind me to verify this person did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088406 - come up from behind.  Knees and feet Pain level 0, so was able to go                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088407 - faster downhill to warm up, than on prior hikes.  Hiked on Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088408 - to Cliff House, and down to The Great Highway along the beach.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088409 - on Great Highway to JFK drive.  Turned corner onto JFK drive and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088410 - maintained good pace.  Totally dark so cannot see the road nor hardly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088411 - anything in the park.  Barely made out Buffalo compound.  There are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088412 - periodic street lights.  About mile 4 going past Lindley Meadow then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088413 - Hellman Hollow feeling some burning sensation ball of both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088414 - Beginning to encounter few bikers and runners, likely from USF, going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088415 - the other way out toward the beach.  Most are on the other side of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088416 - street.  Many bikers are equipped with a headlight.  The runners, too,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088417 - have headlamps that bob around, so it is easy to distinguish runners                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088418 - and hikers from bikers whose headlights appear more steady.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088419 - reaching De Young Museum about mile 4.75 burning sensation in balls of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088420 - feet has mostly subsided.  Increased pace.  Biker and runner/hiker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088421 - traffic seems lighter than on prior hikes through Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088422 - Nearing the end of JFK Drive, crossed the street to make left turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088423 - onto Stanyon.  Hiked uphill on Stanyon several blocks to Fulton;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088424 - crossed over and hiked few more blocks downhill to Paramont street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088425 - across from Koret Health and Recreation Center, part of USF.  At Ann's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088426 - house turned around and started back - still pain level 0.  Morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088427 - commute traffic is now steady flow through park on JFK.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088428 - South side against traffic going West.  Seems safer to see oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088429 - traffic, but vehicle headlights are blinding, while it is still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088430 - totally dark.  Passing De Young Museum increased pace - feeling very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088431 - good.  Nearing the overhead bridge, heard waterfall.  Getting closer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088432 - finally saw the waterfall.  Somewhere about mile 9 of hike there was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088433 - severe pain level 5 in middle of right foot at plantar plate location,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088434 - but lasted only few steps, similar to yesterday, reported per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088435 - ref SDS 0 RSUT  On reaching Helman Hollow it was light so could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088436 - see the street, grass and trees in the park.  About mile 9.5 pain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088437 - middle of right foot subsided.  Increased pace hiking against strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088438 - wind past Lindley Meadow, to the Spreckles lake, then the Buffalow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088439 - compound.  Finally reached the end of JFK.  The ocean was a beautiful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088440 - sight.  Several big excavation rigs were working on the beach.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088441 - Fulton crossed "The Great Highway" and continued on the shoulder back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088442 - toward the Cliff House and the hospital.  Maintained pace hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088443 - the steep hill.  At the Cliff House made the turn onto Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088444 - slowing down due to fatigue.  Hiking with the wind, continued up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088445 - 42nd street, turned and hiked up steeper hill to VAMCSF on Clement.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088446 - Good hike with good pace all the way.  Did warm down hike around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088447 - parking lot in front of the hospital.  Noticed considerable pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088448 - right side of right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088450 -  ..
088451 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088452 - Lunch - half sandwich bacon tomato avocado - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088453 - Dinner - half sandwich bacon tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088455 -  ..
088456 - Vomiting: 10% dinner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088460 -         ..
088461 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088462 -  102.  180412 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088463 -               0820....BP HR with Diff........................................... 111  67  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088464 -               0825....BP HR with Diff........................................... 113  71  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088465 -               0900....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088466 -               0900... 20 13820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088467 -               0900... 80 69900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088468 -               0000....1000  42000 acetaminophen - Tylenol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088469 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088470 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088471 -         * cr  1235....miles...........  11.0  47.00  171  621 minutes temp  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088472 -               1610....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088473 -               1615....BP HR with Diff........................................... 116  67  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088474 -               1625....BP HR with Diff........................................... 115  69  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088475 -               1700... 40 31440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088476 -               2100............ 10 10000  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088477 -               2100............ 10  9590  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088478 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088479 -               1940... 20 11900 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088480 -               2020... 1000 1106000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088481 -               2140... 80 69980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088483 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088485 -  ..
088486 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088487 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088489 -  ..
088490 - Pain medication - none; after hike took hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088492 -  ..
088493 - Blood pressure good today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088494 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088495 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088497 -  ..
088498 - Double socks - applied protective caps little toe and ring toe both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088499 - feet - worked pretty well.  Cut strip of black felt/wool cloth and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088500 - weaved bewteen toes of right foot.  This transferred some pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088501 - from ball of foot to toes, reducing burning sensation that has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088502 - occurring.  Worked pretty well, but after 8 miles suffered pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088503 - 3 on right foot.  Kept hiking, and this pain subsided so able to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088504 - complete hike without removing the strip, which was required 2 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088505 - ago on 180410, per above. ref SDS 0 RSRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088507 -  ..
088508 - Toe caps recommended by Mark Wachter at On-the-Run.  These have worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088509 - well, but 2nd half of hike this morning noticed pain in right side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088510 - right foot.  When shoe and sock was removed on right foot after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088511 - and returning from VAMCSF, noticed little toe was injured.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088513 -  ..
088514 - Orthotic inserts - switched to Satallite Elite orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088515 - purchased from On-the-Run shoe store, and which have no grove cut in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088516 - the bottom, reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088518 -  ..
088519 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088520 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088522 -  ..
088523 - Blister bottom left foot below big toe recurred on 180216, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088524 - ref SDS 37 DA4M - applied protective gel with white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088526 -  ..
088527 - Blister bottom right foot below big toe recurred - applied protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088528 - gel with white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088530 -  ..
088531 - Tailor's Bunion left foot - left in place protection dressing applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088532 - yesterday, per above. ref SDS 37 RSTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088534 -  ..
088535 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088536 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088538 -  ..
088539 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088540 - do extra 1 mile at the end.  Starting energy low, legs hurt because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088541 - did not stretch after hike yesterday; time to 1.25 miles 19 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088542 - Maintained pace on Clayton hiking on concrete sidewalk.  Mile 2 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088543 - foot only slight burning sensation across ball of foot.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088544 - at mile 3.25 continued pace on concrete sidewalk.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088545 - then switched to asphault roadway.  Burning sensation right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088546 - subsided.  Time to mile 4.25 68 minutes.  Maintained pace continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088547 - on Ygnacio Valley Road.  At mile 4.75 feeling okay, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088548 - on Crystal Ranch Road and hiked extra 4-mile loop.  Hiking uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088549 - maintained good pace with pain level 0 all the way 1 mile to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088550 - without breaking stride, but slower pace.  Increased pace at summit on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088551 - flat ground, and continued good pace on downhill, indicating knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088552 - recovering with PRP treatments on 170726, and on 180105, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088553 - previously advancing osteoarthritis pain required going very slow with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088554 - short steps on downhill slopes.  Turned onto Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088555 - Maintained good pace going up steep hill for .3 miles with pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088556 - 0.  Maintained pace going downhill to Pine Hollow.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088557 - hiked 1 mile at normal pace on flat ground.  Turned onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088558 - Valley Road and hiked back to Crystal Ranch Road completing 4 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088559 - loop.  Very severe head wind so turned onto Cowell and hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088560 - end of route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088562 -  ..
088563 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088564 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088565 - Dinner - meatloaf mashed potatoes asparagus avocado tomato onion, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088567 -  ..
088568 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088572 -         ..
088573 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088574 -  103.  180413 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088575 -               0810....BP HR with Diff........................................... 115  69  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088576 -               0815....BP HR with Diff........................................... 115  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088577 -               0820....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088578 -               0820... 20 13820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088579 -               0820... 80 69900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088580 -               0820....1000  43000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088581 -               0820....200    1600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088582 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088583 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088584 -         * cr  1145....miles...........  11.0  58.00  166  787 minutes temp  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088585 -               1410....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088586 -               1425....BP HR with Diff........................................... 111  69  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088587 -               1435....BP HR with Diff........................................... 116  68  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088588 -               1700... 40 31440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088589 -             1 0000............ 10 10000  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088590 -             1 0000............ 10  9590  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088591 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088592 -               1910... 20 11900 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088593 -               1950... 1000 1106000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088594 -               2040... 80 69980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088596 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088598 -  ..
088599 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088600 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088602 -  ..
088603 - Pain medication - acetaminophen and ibuprofin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088605 -  ..
088606 - Blood pressure good today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088607 - gastrointestinal drugs last night; BP normal after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088608 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088610 -  ..
088611 - Double socks only, nothing else                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088613 -  ..
088614 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088615 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088616 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088618 -  ..
088619 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088620 - do extra 1 mile at the end.  Starting energy low, legs hurt because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088621 - did not stretch after hike yesterday; time to 1.25 miles 19 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088622 - Maintained pace on Clayton hiking on concrete sidewalk.  Mile 2 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088623 - foot only slight burning sensation across ball of foot.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088624 - at mile 3.25 continued pace on concrete sidewalk.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088625 - then switched to asphault roadway.  Burning sensation right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088626 - subsided.  Time to mile 4.25 68 minutes.  Maintained pace continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088627 - on Ygnacio Valley Road.  At mile 4.75 feeling okay, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088628 - on Crystal Ranch Road and hiked extra 4-mile loop.  Noticed 2 women                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088629 - hiking downhill on my side of the road, going with traffic.  About 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088630 - yards before we passed they crossed and hiked uphill on the other side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088631 - of the road.  By then they were about 10 yards ahead.  Increased pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088632 - but the girls kept their lead for about .25 miles.  At the 3rd storm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088633 - drain, I passed them.  Could hear them talking until the 5th storm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088634 - drain.  Continued fast pace uphill with pain level 0 all the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088635 - 1 mile.  At the summit continued fast pace on flat ground.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088636 - a little further on, still good pace on downhill, indicating knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088637 - recovering with PRP treatments on 170726, and on 180105, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088638 - previously advancing osteoarthritis pain required going very slow with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088639 - short steps on downhill slopes.  Turned onto Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088640 - Maintained good pace going up steep hill for .3 miles with pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088641 - 0.  Maintained pace going downhill to Pine Hollow.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088642 - hiked 1 mile at normal pace on flat ground.  Hiked back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088643 - Ranch Road completing 4 mile loop.  Continued uphill to Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088644 - turned corner.  Hiked to Treat and home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088646 -  ..
088647 - Breakfast - ensure cream of wheat with rasins, few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088648 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088649 - Dinner - hot dog cottage cheese asparagus onion tomato, bread,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088650 - margarine, jam, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088652 -  ..
088653 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088657 -         ..
088658 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088659 -  104.  180414 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088660 -               0825....BP HR with Diff........................................... 140  82  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088661 -               0830....BP HR with Diff........................................... 134  79  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088662 -               0835....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088663 -               0835... 20 13840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088664 -               0835... 80 70160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088665 -               0000....1000  43000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088666 -               0000....200    1600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088667 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088668 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088669 -               1205....miles...........  11.0  69.00  164  951 minutes temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088670 -               1545....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088671 -               1550....BP HR with Diff........................................... 101  78 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088672 -               1555....BP HR with Diff........................................... 111  82 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088673 -               1640... 40 31480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088674 -               1920............ 10 10010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088675 -               1920............ 10  9600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088676 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088677 -               2015... 20 11920 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088678 -               2040... 1000 1107000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088679 -               2120... 80 70240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088681 -  ..
088682 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088683 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088685 -  ..
088686 - Pain medication - none  After hike entire body very drained; could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088687 - take acetimenaphen, but defer to avoid dependence.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088689 -  ..
088690 - Blood pressure more normal today, before hiking after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088691 - additional gastrointestinal drugs last night; BP normal after hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088692 - distance and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088694 -  ..
088695 - Double socks only, nothing else - by mile 9 feeling blisters on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088696 - little toe and ring toe left foot.  Long toe and middle toe right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088697 - foot seem injured.  Blisters occurred little toe and ring toe on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088698 - foot at end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088700 -  ..
088701 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088702 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088703 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088705 -  ..
088706 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088707 - extra 1 mile at the end.  Starting energy low, legs hurt because did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088708 - not stretch after hike yesterday; time to 1.25 miles 19 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088709 - Maintained pace on Clayton hiking on concrete sidewalk.  Mile 2 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088710 - foot only slight burning sensation across ball of foot.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088711 - at mile 3.25 continued pace on concrete sidewalk.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088712 - then switched to asphault roadway.  Burning sensation right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088713 - subsided.  Time to mile 4.25 68 minutes.  Maintained pace continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088714 - on Ygnacio Valley Road.  At mile 4.75 feeling okay.  Decided not to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088715 - hike 4-mile loop on Crystal Ranch Road.  Increased pace hiking uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088716 - and crossed Cowell Road.  Continuing toward summit, felt right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088717 - hamstring pain level 3, so slowed pace to summit in order to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088718 - tear.  Going downhill right hamstring pain subsided.  Ran about 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088719 - miles downhill grade, then hiked rest of way to Oak Grove.  Turned and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088720 - hiked 1 mile to Treat, no pain right hamstring.  Ran last 50 yards on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088721 - Oak Grove to cross Treat and turn heading East.  Noticed blisters on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088722 - little and ring toe left foot.  On right foot long and middle toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088723 - occasionally painful level 3.  Maintained good pace until uphill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088724 - Slowed pace due to heat.  Going uphill did not notice right hamstring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088725 - At summit on Treat continued on Cuneo and completed extra 1 mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088727 -  ..
088728 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088729 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088730 - Dinner - meatloaf cheese brocolli onion tomato, milk ensure ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088732 -  ..
088733 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088737 -         ..
088738 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088739 -  105.  180415 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088740 -               0840....BP HR with Diff........................................... 121  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088741 -               0845....BP HR with Diff........................................... 124  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088742 -               0850....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088743 -               0850... 20 13840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088744 -               0850... 80 70160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088745 -               0850....1000  44000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088746 -               0850....200    1800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088747 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088748 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088749 -         * cr  1030....miles...........  11.0  80.00  168 1119 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088750 -               1345....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088751 -               1350....BP HR with Diff........................................... 112  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088752 -               1555....BP HR with Diff........................................... 119  75  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088753 -               1700... 40 31480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088754 -             1 0000............ 10 10010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088755 -             1 0000............ 10  9600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088756 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088757 -               2035... 20 11920 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088758 -               2040... 1000 1107000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088759 -               2130... 80 70240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088761 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088763 -  ..
088764 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088765 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088767 -  ..
088768 - Pain medication - none  After hike entire body very drained; could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088769 - take acetimenaphen, defer to avoid dependence.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088771 -  ..
088772 - Blood pressure more normal today, before hiking after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088773 - additional gastrointestinal drugs last night; BP normal after hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088774 - distance and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088776 -  ..
088777 - Double socks - cut strip of black felt/wool cloth and weaved bewteen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088778 - toes of right foot.  This transferred some pressure from ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088779 - to toes, reducing burning sensation that has been occurring.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088780 - pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088782 -  ..
088783 - Toe caps recommended by Mark Wachter at On-the-Run - did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088784 - these today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088786 -  ..
088787 - Left foot little toe and ring toe applied protective gel with white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088788 - tape to treat blisters from yesterday, per above. ref SDS 0 WXYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088790 -  ..
088791 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088792 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088793 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088795 -  ..
088796 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088797 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088799 -  ..
088800 - Tailor's Bunion left foot - did not apply protection dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088802 -  ..
088803 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088804 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088806 -  ..
088807 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088808 - do extra 1 mile at the end.  Starting energy good, felt light so fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088809 - pace; time to 1.25 miles 19 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088810 - hiking on concrete sidewalk.  Mile 2 right foot only slight burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088811 - sensation across ball of foot.  Turned corner at mile 3.25 continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088812 - pace on concrete sidewalk.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088813 - asphault roadway.  Burning sensation right foot subsided.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088814 - mile 4.25 65 minutes.  Maintained pace continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088815 - Road against strong headwind.  At mile 4.75 feeling okay, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088816 - corner and hiked 4-mile loop on Crystal Ranch Road.  Maintained fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088817 - pace hiking uphill 1 mile all the way to the summit.  Did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088818 - right hamstring that occurred yesterday, per above. ref SDS 0 WXYY  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088819 - the summit continued fast pace on flat ground.  Slowed a little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088820 - further on, still good pace on downhill, indicating knees recovering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088821 - with PRP treatments on 170726, and on 180105, because previously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088822 - advancing osteoarthritis pain required going very slow with short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088823 - steps on downhill slopes.  Turned onto Rolling Woods Way.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088824 - good pace going up steep hill for .3 miles with pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088825 - Maintained pace going downhill to Pine Hollow.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088826 - hiked 1 mile at normal pace on flat ground.  Turned onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088827 - Valley Road and hiked against strong wind back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088828 - completing 4 mile loop.  Continued against headwind uphill to Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088829 - and turned corner.  Hiked to Treat and home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088831 -  ..
088832 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088833 - Lunch - half hamburger ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088834 - Dinner - lettuce tomato salmon avocado cumcumber mushrooms onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088836 -  ..
088837 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088841 -         ..
088842 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088843 -  106.  180416 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088844 -               0800....BP HR with Diff........................................... 128  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088845 -               0805....BP HR with Diff........................................... 127  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088846 -               0810....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088847 -               0810... 20 13860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088848 -               0810... 80 70320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088849 -               0000....1000  44000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088850 -               0000....200    1800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088851 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088852 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088853 -         * cr  1105....miles...........  11.0  11.00  163  163 minutes temp  48 wind rain hail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088854 -               1415....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088855 -               1425....BP HR with Diff........................................... 124  84  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088856 -               1430....BP HR with Diff........................................... 113  69  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088857 -               1710... 40 31520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088858 -               1830............ 10 10020  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088859 -               1830............ 10  9610  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088860 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088861 -               1925... 20 12000 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088862 -               1940... 1000 1108000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088863 -               2040... 80 70400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088865 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088867 -  ..
088868 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088869 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088871 -  ..
088872 - Pain medication - none  After hike entire body very drained; could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088873 - take acetimenaphen, defer to avoid dependence.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088875 -  ..
088876 - Blood pressure more normal today, before hiking after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088877 - additional gastrointestinal drugs last night; BP normal after hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088878 - distance and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088880 -  ..
088881 - Double socks - cut strip of black felt/wool cloth and weaved bewteen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088882 - toes of right foot.  This transferred some pressure from ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088883 - to toe muscles, reducing burning sensation that has been occurring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088884 - Worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088886 -  ..
088887 - Toe caps recommended by Mark Wachter at On-the-Run - did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088888 - these today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088890 -  ..
088891 - Left foot little toe and ring toe applied protective gel with white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088892 - tape to treat blisters that occurred on 180414, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088893 - WXYQ  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088895 -  ..
088896 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088897 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088898 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088899 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088901 -  ..
088902 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088903 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088905 -  ..
088906 - Tailor's Bunion left foot - applied new protection dressing - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088907 - work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088909 -  ..
088910 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088911 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088913 -  ..
088914 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088915 - do extra 1 mile at the end.  Starting energy good, felt light so fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088916 - pace; time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088917 - hiking on concrete sidewalk.  Mile 2 right foot only slight burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088918 - sensation across ball of foot.  Turned corner at mile 3.25 continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088919 - pace on concrete sidewalk.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088920 - asphault roadway.  Slight headwind and rain.  Burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088921 - foot subsided.  Time to mile 4.25 65 minutes.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088922 - continuing on Ygnacio Valley Road against strong headwind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088923 - 4.75 feeling okay, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088924 - Ranch Road.  Maintained fast pace hiking uphill 1 mile all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088925 - to the summit.  Did not feel right hamstring that occurred 2 days ago,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088926 - per above. ref SDS 0 WXYY  At the summit continued fast pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088927 - ground.  Rain heavier.  Slowed a little further on, still good pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088928 - downhill, indicating knees recovering with PRP treatments on 170726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088929 - and on 180105, because previously advancing osteoarthritis pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088930 - required going very slow with short steps on downhill slopes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088931 - onto Rolling Woods Way.  Rain heavier with hail coming down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088932 - Maintained good pace going up steep hill for .3 miles with pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088933 - 0.  Maintained pace going downhill.  Hail stopped, only light rain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088934 - About halfway downhill pain level 4 in right knee above patella, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088935 - side - slowed pace and after about 150 yards, pain subsided.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088936 - corner onto Pine Hollow.  Hiked 1 mile at fast pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088937 - Turned onto Ygnacio Valley Road and hiked against strong wind back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088938 - Crystal Ranch Road completing 4 mile loop.  Continued against headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088939 - uphill to Cowell - ran 50 yards to make green traffic light.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088940 - corner.  Hiked to Treat; again ran 100 yards to make traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088941 - Hiked home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088943 -  ..
088944 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088945 - Lunch - ensure milk, half sandwich avocado onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088946 - Dinner - spaghetti avocado squash onion cumcumber, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088948 -  ..
088949 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088953 -         ..
088954 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088955 -  107.  180417 0430..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088956 -               0520....BP HR with Diff........................................... 134  73  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088957 -               0525....BP HR with Diff........................................... 135  69  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088958 -               0730....BP HR with Diff........................................... 128  59  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088959 -               0730....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088960 -               0000... 20 13860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088961 -               0000... 80 70320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088962 -               0000....1000  44000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088963 -               0000....200    1800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088964 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088965 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088966 -               1813... 40 31560 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088967 -             1 0000............ 10 10020  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088968 -             1 0000............ 10  9610  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088969 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088970 -               2035... 20 12020 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088971 -               2040... 1000 1109000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088972 -               2130... 80 70480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088975 -  ..
088976 - EGD dilation so NPO; Doctor Lee in GI Clinic at VA Medical Center in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088977 - Sacramento, reported in another record today on 180417 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088978 - ref SDS 88 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088980 -  ..
088981 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088982 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088984 -  ..
088985 - Blood pressure normal except diastolic very low taken at VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088987 -  ..
088988 - Hiking - none; medical procedure today in Sacramento.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088990 -  ..
088991 - Breakfast - NPO for EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088992 - Lunch - half sandwich avocado onion cheese baloney, half Arby's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088993 - beef sandwich, few fries, half apple fritter, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088994 - Dinner - lettuce avocado tuna asparagus onion cumcumber tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088996 -  ..
088997 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089001 -         ..
089002 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089003 -  108.  180418 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089004 -               0740....BP HR with Diff........................................... 131  70  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089005 -               0745....BP HR with Diff........................................... 131  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089006 -               0745....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089007 -               0745... 20 13880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089008 -               0745... 80 70560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089009 -               0000....1000  44000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089010 -               0000....200    1800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089011 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089012 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089013 -         * cr  1325....miles...........  11.0  22.00  166  329 minutes temp  56 wind rain hail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089014 -               1640....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089015 -               1655....BP HR with Diff........................................... 126  67  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089016 -               1700....BP HR with Diff........................................... 126  73  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089017 -               1820... 40 31600 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089018 -               2010............ 10 10030  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089019 -               2010............ 10  9620  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089020 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089021 -               2130... 20 12040 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089022 -               2150... 1000 1110000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089023 -               2220... 80 70640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089025 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089027 -  ..
089028 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089029 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089031 -  ..
089032 - Blood pressure high today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089033 - gastrointestinal drugs last night; BP high after hike for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089034 - and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089036 -  ..
089037 - Pain medication - none  After hike body seems fatigued, but recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089038 - well.  Very little pain in legs and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089040 -  ..
089041 - Double socks - cut strip of black felt/wool cloth and weaved bewteen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089042 - toes of right foot.  This transferred some pressure from ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089043 - to toe muscles, reducing burning sensation that has been occurring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089044 - Worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089046 -  ..
089047 - Toe caps recommended by Mark Wachter at On-the-Run - use on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089048 - little toe and ring toe, and same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089050 -  ..
089051 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089052 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089053 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089054 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089056 -  ..
089057 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089058 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089060 -  ..
089061 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089062 - work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089064 -  ..
089065 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089066 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089068 -  ..
089069 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089070 - do extra 1 mile at the end.  Starting energy good, but legs (calfs)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089071 - pain level 3, so slow pace; time to 1.25 miles 19 minutes.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089072 - slow pace on Clayton hiking on concrete sidewalk.  Mile 1.5 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089073 - slight burning sensation across ball of foot - right foot worse.  Mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089074 - 2.5 legs pain level 2.  Turned corner at mile 3.25 continued pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089075 - concrete sidewalk.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089076 - roadway.  Pain in calfs subsides - pain level 0.  Burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089077 - left foot subsides, right foot continues.  Time to mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089078 - minutes.  Increased pace continuing on Ygnacio Valley Road.  Burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089079 - sensation right foot subsides.  At mile 4.75 turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089080 - 4-mile loop on Crystal Ranch Road.  Maintained fast pace hiking uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089081 - 1 mile all the way to the summit - took 14 minutes.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089082 - continued fast pace on flat ground.  Slowed a little further on, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089083 - good pace on downhill, indicating knees recovering with PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089084 - on 170726, and on 180105, because previously advancing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089085 - pain required going very slow with short steps on downhill slopes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089086 - Turned onto Rolling Woods Way.  Maintained good pace going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089087 - hill for .3 miles with pain level 0.  Maintained pace going downhill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089088 - noticed no pain in either knee after vigorous exercise.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089089 - onto Pine Hollow.  Hiked 1 mile at fast pace on flat ground.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089090 - onto Ygnacio Valley Road and hiked back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089091 - completing 4 mile loop.  Continued uphill to Cowell, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089092 - corner.  Hiked to Treat.  Hiked home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089094 -  ..
089095 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089096 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089097 - Dinner - tuna onion avocado tomato cumcumber cottage cheese, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089098 - milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089100 -  ..
089101 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089106 -         ..
089107 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089108 -  109.  180419 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089109 -               0950....BP HR with Diff........................................... 138  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089110 -               0955....BP HR with Diff........................................... 143  78  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089111 -               1000....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089112 -               1000... 20 13900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089113 -               1000... 80 70720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089114 -               0000....1000  44000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089115 -               0000....200    1800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089116 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089117 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089118 -         * cr  1350....miles...........  11.0  33.00  166  495 minutes temp  67 wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089119 -               1700....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089120 -               1715....BP HR with Diff........................................... 115  70  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089121 -               1720....BP HR with Diff........................................... 118  76  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089122 -               1810... 40 31640 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089123 -             1 0000............ 10 10030  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089124 -             1 0000............ 10  9620  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089125 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089126 -               2130... 20 12060 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089127 -               2150... 1000 1111000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089128 -               2220... 80 70800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089130 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089132 -  ..
089133 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089134 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089136 -  ..
089137 - Blood pressure high today, before hiking after not taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089138 - gastrointestinal drugs last night; BP little high after hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089139 - distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089141 -  ..
089142 - Pain medication - none  After hike body seems fatigued, but recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089143 - well.  Very little pain in legs and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089145 -  ..
089146 - Double socks - cut strip of black felt/wool cloth and weaved bewteen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089147 - toes of right foot.  This transferred some pressure from ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089148 - to toe muscles, reducing burning sensation that has been occurring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089149 - Worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089151 -  ..
089152 - Toe caps recommended by Mark Wachter at On-the-Run - use on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089153 - little toe and ring toe, and same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089155 -  ..
089156 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089157 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089158 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089159 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089161 -  ..
089162 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089163 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089165 -  ..
089166 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089167 - work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089169 -  ..
089170 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089171 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089173 -  ..
089174 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089175 - do extra 1 mile at the end.  Starting energy good, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089176 - 0, so fast pace.  This caused burning sensation across ball of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089177 - feet early at mile .8; time to 1.25 miles 17 minutes.  Slowed pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089178 - Clayton hiking on concrete sidewalk.  Burning sensation reduced, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089179 - continued, and right foot worse.  Turned corner at mile 3.25 continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089180 - pace on concrete sidewalk.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089181 - asphault roadway.  Slight burning sensation left foot subsides, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089182 - foot continues.  Time to mile 4.25 66 minutes.  Slowed pace continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089183 - on Ygnacio Valley Road.  Burning sensation right foot subsides.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089184 - mile 4.75 turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089185 - Woman driving downhill stopped to ask for directions; but, cars backed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089186 - up behind her, so she continued before we could figure out where she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089187 - was trying to go.  Increased pace hiking uphill 1 mile all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089188 - to the summit.  Caused slight burning sensation in right foot across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089189 - ball of foot.  At the summit continued fast pace on flat ground;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089190 - burning sensation subsided, because less pressure.  Slowed a little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089191 - further on, still good pace on downhill.  Right knee pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089192 - seemed like above patella on inside.  May indicate PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089193 - 170726, and on 180105, beginning to wear out causing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089194 - again that requires going slow with short steps on downhill slopes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089195 - Turned onto Rolling Woods Way.  Increased pace going up steep hill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089196 - .3 miles with pain level 0.  Maintained pace going downhill, noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089197 - slight pain in left knee.  Turned corner onto Pine Hollow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089198 - mile at fast pace on flat ground with pain level 0 in knees and feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089199 - Turned onto Ygnacio Valley Road and hiked back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089200 - completing 4 mile loop.  Continued uphill to Cowell and turned corner.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089201 - Hiked to Treat.  Sprinted across Treat to beat left hand turn traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089202 - light.  Hiked home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089204 -  ..
089205 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089206 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089207 - Dinner - macaroni cheese brocolli onion hot dog avocado tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089208 - mushrooms, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089210 -  ..
089211 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089215 -         ..
089216 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089217 -  110.  180420 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089218 -               0920....BP HR with Diff........................................... 121  73  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089219 -               0925....BP HR with Diff........................................... 121  74  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089220 -               0930....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089221 -               0930... 20 13920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089222 -               0930... 80 70880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089223 -               0000....1000  44000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089224 -               0000....200    1800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089225 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089226 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089227 -         * cr  1230....miles...........  11.0  44.00  168  663 minutes temp  77 wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089228 -               1545....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089229 -               1550....BP HR with Diff...........................................  97  74 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089230 -               1555....BP HR with Diff...........................................  95  70 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089231 -               1740... 40 31680 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089232 -               1940............ 10 10040  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089233 -               1940............ 10  9630  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089234 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089235 -               2110... 20 12080 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089236 -               2130... 1000 1112000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089237 -               2230... 80 70960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089239 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089241 -  ..
089242 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089243 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089245 -  ..
089246 - Blood pressure low (good) today, before hiking despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089247 - additional gastrointestinal drugs last night; BP lower after hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089248 - distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089250 -  ..
089251 - Pain medication - none  After hike body seems fatigued, but recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089252 - well.  Very little pain in legs and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089254 -  ..
089255 - Double socks - cut strip of black felt/wool cloth and weaved bewteen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089256 - toes of right foot.  This transferred some pressure from ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089257 - to toe muscles, reducing burning sensation that has been occurring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089258 - Worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089260 -  ..
089261 - Toe caps recommended by Mark Wachter at On-the-Run - use on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089262 - little toe and ring toe, and same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089264 -  ..
089265 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089266 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089267 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089268 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089270 -  ..
089271 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089272 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089274 -  ..
089275 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089276 - work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089278 -  ..
089279 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089280 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089282 -  ..
089283 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089284 - do extra 1 mile at the end.  Starting energy good, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089285 - 0, so fast pace.  This caused burning sensation across ball of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089286 - feet early at mile .8; time to 1.25 miles 18 minutes.  Slowed pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089287 - Clayton hiking on concrete sidewalk.  Burning sensation reduced, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089288 - continued, and right foot worse.  Turned corner at mile 3.25 continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089289 - pace on concrete sidewalk.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089290 - asphault roadway.  Slight burning sensation left foot subsides, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089291 - foot continues.  Time to mile 4.25 67 minutes.  Slowed pace continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089292 - on Ygnacio Valley Road.  Burning sensation right foot subsides.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089293 - mile 4.75 turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089294 - Increased pace hiking uphill 1 mile all the way to the summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089295 - Caused slight burning sensation in right foot across ball of foot.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089296 - the summit continued fast pace on flat ground; burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089297 - subsided, because less pressure.  Slowed a little further on, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089298 - good pace on downhill.  Right knee pain level 2 seemed like above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089299 - patella on inside.  May indicate PRP treatments on 170726, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089300 - 180105, beginning to wear out causing osteoarthritis again that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089301 - requires going slow with short steps on downhill slopes.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089302 - Rolling Woods Way.  Increased pace going up steep hill for .3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089303 - with pain level 0.  Slowed pace going downhill due to slight pain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089304 - left knee.  Turned corner onto Pine Hollow.  Hiked 1 mile at fast pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089305 - on flat ground with pain level 0 in knees and feet.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089306 - Ygnacio Valley Road and hiked back to Crystal Ranch Road completing 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089307 - mile loop.  Continued uphill to Cowell and turned corner.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089308 - Treat.  Hiked home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089310 -  ..
089311 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089312 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089313 - Dinner - brocolli onion tuna avocado tomato mushrooms, sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089314 - bologna onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089316 -  ..
089317 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089321 -         ..
089322 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089323 -  111.  180421 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089324 -               1005....BP HR with Diff........................................... 129  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089325 -               1010....BP HR with Diff........................................... 138  78  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089326 -               1015....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089327 -               1015... 20 13940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089328 -               1015... 80 71040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089329 -               1015....1000  45000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089330 -               1015....200    2000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089331 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089332 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089333 -         * cr  1105....miles...........  11.0  55.00  167  830 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089334 -               1520....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089335 -               1525....BP HR with Diff........................................... 107  67 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089336 -               1545....BP HR with Diff........................................... 112  69  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089337 -               1720... 40 31720 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089338 -             1 0000............ 10 10050  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089339 -             1 0000............ 10  9640  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089340 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089341 -               2020... 20 12100 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089342 -               2050... 1000 1113000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089343 -               2210... 80 71120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089345 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089347 -  ..
089348 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089349 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089351 -  ..
089352 - Blood pressure okay today, before hiking despite taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089353 - gastrointestinal drugs last night; BP lower after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089354 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089356 -  ..
089357 - Pain medication - acetaminaphen and ibuprofen may have helped during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089358 - hike, possibly less burning sensation on feet.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089359 - fatigued, but recovered well.  Very little pain in legs and feet going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089360 - up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089362 -  ..
089363 - Double socks - cut strip of black felt/wool cloth and weaved bewteen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089364 - toes of right foot.  This transferred some pressure from ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089365 - to toe muscles, reducing burning sensation that has been occurring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089366 - Worked pretty well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089368 -  ..
089369 - Toe caps recommended by Mark Wachter at On-the-Run - use on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089370 - little toe and ring toe, and same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089372 -  ..
089373 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089374 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089375 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089376 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089378 -  ..
089379 - Callus left foot big toe - applied protective gel with white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089380 - Worked okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089382 -  ..
089383 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089384 - work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089386 -  ..
089387 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089388 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089390 -  ..
089391 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089392 - do extra 1 mile at the end.  Starting energy good, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089393 - 0, so fast pace.  No burning sensation across ball of feet. time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089394 - 1.25 miles 17 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089395 - sidewalk.  About mile 2 slight burning sensation right foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089396 - corner at mile 3.25 continued pace on concrete sidewalk.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089397 - mile 3.5, then switched to asphault roadway.  Maintained good pace -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089398 - time to mile 4.25 65 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089399 - slight burning sensation right foot subsides.  At mile 4.75 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089400 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089401 - uphill 1 mile all the way to the summit.  No burning sensation in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089402 - right foot across ball of foot.  At the summit slowed pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089403 - ground in elevated temperature.  Hiking downhill no pain in either                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089404 - knee.  May indicate PRP treatments on 170726, and on 180105, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089405 - effective preventing osteoarthritis.  Turned onto Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089406 - Increased pace going up steep hill for .3 miles with pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089407 - Slowed pace going downhill due to pain from right side of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089408 - pressing on shoe - little toe and ring toe pain level 3.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089409 - corner onto Pine Hollow.  Hiked 1 mile at fast pace on flat ground                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089410 - with pain level 0 in knees and feet.  Turned onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089411 - and hiked back to Crystal Ranch Road completing 4 mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089412 - Continued uphill to Cowell.  Decided to turn on Cowell because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089413 - elevated temperature.  Hiked to Treat and home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089415 -  ..
089416 - Breakfast - ensure with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089417 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089418 - Dinner - eggs asparagus onion avocado cottage cheese toast,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089419 - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089421 -  ..
089422 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089427 -         ..
089428 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089429 -  112.  180422 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089430 -               0840....BP HR with Diff........................................... 118  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089431 -               0845....BP HR with Diff........................................... 120  72  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089432 -               0850....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089433 -               0850... 20 13960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089434 -               0850... 80 71200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089435 -               0850....1000  46000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089436 -               0850....200    2200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089437 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089438 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089439 -         * cr  1140....miles...........  11.0  66.00  171 1001 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089440 -               1505....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089441 -               1520....BP HR with Diff........................................... 111  79  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089442 -               1530....BP HR with Diff........................................... 113  71  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089443 -               1640... 40 31760 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089444 -               2010............ 10 10060  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089445 -               2010............ 10  9650  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089446 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089447 -               2115... 40 12140 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089448 -               2115... 1000 1114000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089449 -               2150... 80 71280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089451 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089453 -  ..
089454 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089455 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089457 -  ..
089458 - Blood pressure okay today, before hiking despite taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089459 - gastrointestinal drugs last night; BP high after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089460 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089462 -  ..
089463 - Pain medication - acetaminaphen and ibuprofen may have helped during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089464 - hike, possibly less burning sensation on feet.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089465 - fatigued, but recovered well.  Very little pain in legs and feet going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089466 - up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089468 -  ..
089469 - Double socks - worked pretty well alone with pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089471 -  ..
089472 - Toe caps recommended by Mark Wachter at On-the-Run - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089474 -  ..
089475 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089476 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089477 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089478 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089480 -  ..
089481 - Callus left foot big toe - nothing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089483 -  ..
089484 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089485 - work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089487 -  ..
089488 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089489 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089491 -  ..
089492 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089493 - do extra 1 mile at the end.  Starting energy good, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089494 - 0, so fast pace.  No burning sensation across ball of feet. time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089495 - 1.25 miles 17 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089496 - sidewalk.  About mile 2 slight burning sensation right foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089497 - corner at mile 3.25 continued pace on concrete sidewalk.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089498 - mile 3.5, then switched to asphault roadway.  Maintained good pace -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089499 - time to mile 4.25 65 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089500 - slight burning sensation right foot subsides.  At mile 4.75 turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089501 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089502 - uphill 1 mile all the way to the summit.  No burning sensation in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089503 - right foot across ball of foot.  At the summit slowed pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089504 - ground in elevated temperature.  Hiking downhill no pain in either                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089505 - knee.  May indicate PRP treatments on 170726, and on 180105, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089506 - effective preventing osteoarthritis.  Turned onto Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089507 - Increased pace going up steep hill for .3 miles with pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089508 - Slowed pace going downhill due to pain from right side of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089509 - pressing on shoe - little toe and ring toe pain level 3.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089510 - corner onto Pine Hollow.  Hiked 1 mile at fast pace on flat ground                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089511 - with pain level 0 in knees and feet.  Turned onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089512 - and hiked back to Crystal Ranch Road completing 4 mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089513 - Continued uphill to Cowell.  Decided to turn on Cowell because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089514 - elevated temperature.  Hiked to Treat and home for 11 mile route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089516 -  ..
089517 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089518 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089519 - Dinner - chips hamburger avocado donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089521 -  ..
089522 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089526 -         ..
089527 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089528 -  113.  180423 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089529 -               0850....BP HR with Diff........................................... 139  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089530 -               0855....BP HR with Diff........................................... 129  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089531 -               0900....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089532 -               0900... 20 13960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089533 -               0900... 80 71200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089534 -               0900....1000  46000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089535 -               0900....200    2200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089536 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089537 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089538 -         * cr  1110....miles...........  13.0  13.00  203  203 minutes temp  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089539 -               1505....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089540 -               1520....BP HR with Diff........................................... 105  78 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089541 -               1530....BP HR with Diff........................................... 111  77 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089542 -               1720... 40 31760 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089543 -             1 0000............ 10 10060  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089544 -             1 0000............ 10  9650  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089545 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089546 -               1948... 40 12140 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089547 -               2010... 1000 1114000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089548 -               2120... 80 71280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089550 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089552 -  ..
089553 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089554 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089556 -  ..
089557 - Blood pressure okay today, before hiking despite taking additional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089558 - gastrointestinal drugs last night; BP high after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089559 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089561 -  ..
089562 - Pain medication - acetaminaphen and ibuprofen may have helped during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089563 - hike, possibly less burning sensation on feet.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089564 - fatigued, but recovered well.  Very little pain in legs and feet going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089565 - up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089567 -  ..
089568 - Double socks - worked pretty well alone with pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089570 -  ..
089571 - Toe caps recommended by Mark Wachter at On-the-Run - none.  Ring toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089572 - on left foot suffered blistered skin.  Will need toe cap tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089574 -  ..
089575 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089576 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089577 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089578 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089580 -  ..
089581 - Callus left foot big toe - nothing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089583 -  ..
089584 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089585 - work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089587 -  ..
089588 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089589 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089591 -  ..
089592 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089593 - do extra 1 mile at the end.  Starting energy good, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089594 - 0, so fast pace.  No burning sensation across ball of feet. time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089595 - 1.25 miles 17 minutes.  Slowed pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089596 - sidewalk.  About mile 2 slight burning sensation right foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089597 - corner at mile 3.25 continued pace on concrete sidewalk.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089598 - mile 3.5, then switched to asphault roadway.  Crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089599 - South Side to hike against Eastbound traffic flow.  While I was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089600 - crossing the island separating West and East bound traffic, a woman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089601 - stopped her car going West.  She rolled down her window, waved and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089602 - yelled something like - "I see you hiking everyday.  Way to go!"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089603 - Maintained good pace - time to mile 4.25 64 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089604 - Ygnacio Valley Road slight burning sensation right foot subsides.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089605 - Somewhere along the trail stepped slightly out of alignment and felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089606 - pain level 7 in right knee.  Maintained alignment rest of hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089607 - this did not repeat.  At mile 4.75 turned corner and hiked 4-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089608 - on Crystal Ranch Road.  Very good pace hiking uphill 1 mile all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089609 - way to the summit.  No burning sensation in right foot across ball of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089610 - foot.  At the summit slowed pace on flat ground in elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089611 - temperature.  Hiking downhill no pain in either knee.  May indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089612 - PRP treatments on 170726, and on 180105, still effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089613 - osteoarthritis.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089614 - up steep hill for .3 miles with pain level 0.  Slowed pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089615 - downhill to prevent pain from right side of right foot pressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089616 - shoe - little toe and ring toe pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089617 - Hollow.  Hiked 1 mile at normal pace on flat ground with pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089618 - in knees and feet.  This preserved energy hiking in temerpature rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089619 - to 84.  Turned onto Ygnacio Valley Road and hiked back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089620 - Ranch Road completing 4 mile loop.  Continued uphill to Cowell.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089621 - okay, so continued past Cowell and increased pace to summit of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089622 - Valley Road.  Maintained fast pace going downhill 2 miles to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089623 - Grove.  Turned corner onto Oak Grove.  Called Kathy to pick me up at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089624 - corner of Oak Grove and Treat.  Hiked another mile and got ride home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089625 - with Kathy for 13 mile hike.  This was good effort for hottest day of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089626 - the year, so far.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089628 -  ..
089629 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089630 - Lunch - crackers cheese, milk ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089631 - Dinner - spaghetti squash carrots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089633 -  ..
089634 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089638 -         ..
089639 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089640 -  114.  180424 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089641 -               0755....BP HR with Diff........................................... 135  76  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089642 -               0800....BP HR with Diff........................................... 117  71  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089643 -               0815....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089644 -               0815... 20 13980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089645 -               0815... 80 71360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089646 -               0815....1000  47000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089647 -               0815....200    2400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089648 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089649 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089650 -         * cr  1015....miles...........  15.0  28.00  237  440 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089651 -               1440....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089652 -               1450....BP HR with Diff........................................... 101  76 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089653 -               1505....BP HR with Diff........................................... 108  67  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089654 -               1720... 40 31800 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089655 -               1940............ 10 10070  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089656 -               1940............ 10  9660  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089657 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089658 -               2050... 40 12180 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089659 -               2120... 1000 1115000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089660 -               2150... 80 71440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089662 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089664 -  ..
089665 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089666 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089668 -  ..
089669 - Blood pressure very good today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089670 - gastrointestinal drugs last night; BP okay after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089671 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089673 -  ..
089674 - Pain medication - acetaminaphen and ibuprofen may have helped during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089675 - hike, possibly less burning sensation on feet.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089676 - fatigued, but recovered well.  Very little pain in legs and feet going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089677 - up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089679 -  ..
089680 - Double socks - worked pretty well alone with pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089682 -  ..
089683 - Toe caps recommended by Mark Wachter at On-the-Run - none.  Ring toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089684 - on left foot suffered blistered skin.  Will need toe cap tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089686 -  ..
089687 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089688 - On-the-Run shoe store, and which have no grove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089689 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089690 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089692 -  ..
089693 - Callus left foot big toe - nothing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089695 -  ..
089696 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089697 - work somewhat.  Pain level 2 last 3 or 4 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089699 -  ..
089700 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089701 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089703 -  ..
089704 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089705 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089706 - calfs pain level 0, so good pace.  No burning sensation across ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089707 - of feet.  Time to 1.25 miles 17 minutes.  Slowed pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089708 - hiking on concrete sidewalk.  About mile 2 slight burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089709 - right foot.  Turned corner at mile 3.25 continued pace on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089710 - sidewalk.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089711 - Crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089712 - flow.  Maintained good pace - time to mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089713 - Continuing on Ygnacio Valley Road hiking against strong wind.  Slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089714 - burning sensation right foot subsides.  At mile 4.75 turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089715 - hiked 4-mile loop on Crystal Ranch Road.  Good pace hiking uphill .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089716 - miles all the way to the summit.  No burning sensation in right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089717 - across ball of foot.  At the summit slowed pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089718 - Hiking downhill no pain in either knee.  May indicate PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089719 - on 170726, and on 180105, still effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089720 - Turned onto Rolling Woods Way.  Maintained pace going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089721 - for .3 miles with pain level 0.  Slowed pace going downhill to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089722 - pain from right side of foot pressing on shoe - little toe and ring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089723 - toe pain level 0.  Turned corner onto Pine Hollow.  Hiked 1 mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089724 - normal pace on flat ground with pain level 0 in knees and feet.  Began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089725 - feeling fatigue from hike so far.  Turned onto Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089726 - hiked back to Crystal Ranch Road completing 4 mile loop.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089727 - uphill to Cowell.  Felt okay, so continued past Cowell and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089728 - pace to summit of Ygnacio Valley Road.  Maintained pace going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089729 - 2 miles to Oak Grove.  Turned corner onto Oak Grove.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089730 - Treat.  Turned corner onto Treat.  Maintained good pace for 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089731 - Slowed pace going uphill on Treat.  At summit feeling blisters on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089732 - feet.  Turned corner onto Cuneo and hiked another mile around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089733 - block on Kaski and Cowell, back to the house.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089735 -  ..
089736 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089737 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089738 - Dinner - spaghetti asparagus mushrooms avocado onion, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089740 -  ..
089741 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089745 -         ..
089746 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089747 -  115.  180425 0230..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089748 -               0305....BP HR with Diff........................................... 136  85  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089749 -               0310....BP HR with Diff........................................... 127  77  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089750 -               0315....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089751 -               0315... 20 14000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089752 -               0315... 80 71520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089753 -               0315....1000  48000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089754 -               0315....200    2600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089755 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089756 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089757 -               0440....miles...........  12.0  40.00  182  622 minutes temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089758 -               0830....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089759 -               0835....BP HR with Diff........................................... 109  68 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089760 -               0840....BP HR with Diff........................................... 108  72  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089761 -               1720... 40 31840 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089762 -             1 0000............ 10 10070  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089763 -             1 0000............ 10  9660  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089764 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089765 -               2010... 40 12220 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089766 -               2030... 1000 1116000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089767 -               2120... 80 71600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089769 -  ..
089770 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089771 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089773 -  ..
089774 - Blood pressure good today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089775 - gastrointestinal drugs last night; BP okay after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089776 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089778 -  ..
089779 - Pain medication - acetaminaphen and ibuprofen may have helped during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089780 - hike, possibly less burning sensation on feet.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089781 - fatigued, but recovered well.  Very little pain in legs and feet going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089782 - up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089784 -  ..
089785 - Double socks - cut strip of black felt/wool cloth and weaved bewteen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089786 - toes of right foot.  This transferred some pressure from ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089787 - to toe muscles, reducing burning sensation that has been occurring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089788 - Worked pretty well, supplementing pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089790 -  ..
089791 - Toe caps recommended by Mark Wachter at On-the-Run - none.  Ring toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089792 - on left foot suffered blister 3 days ago, so applied today.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089793 - to be effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089795 -  ..
089796 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089797 - On-the-Run shoe store, and which have no groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089798 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089799 - slight pain couple of times during hike today.  These were only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089800 - momentary.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089802 -  ..
089803 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089804 - tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089806 -  ..
089807 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089808 - work somewhat.  Pain level 2 but only a few times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089810 -  ..
089811 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089812 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089814 -  ..
089815 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089816 - Weather was good:  cool with very light westerly wind.  No traffic at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089817 - 0430, so could hike on asphault paved street, rather than hard                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089818 - concrete sidewalk.  Walking downhill from the VA on 42nd street, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089819 - Point Lobos both knees pain level 0.  Turned corner onto Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089820 - was able to go faster downhill to Cliff House, than on prior hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089821 - Continued downhill to The Great Highway along the beach.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089822 - flat ground along Great Highway to JFK drive.  Turned corner onto JFK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089823 - and maintained good pace going slightly uphill into the park.  Totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089824 - dark so cannot see the road nor hardly anything in the park.  Neaarly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089825 - walked past where JFK turns left, but going straight ahead becomes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089826 - another road.  Before reaching Buffalo compound heard steps coming up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089827 - behind me.  Turned to check, since in the dark this could be dangerous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089828 - with no one else in the park.  It was a slow runner, who I have seen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089829 - many times running through the park at about this early time in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089830 - morning.  He has always been on the other side of the road running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089831 - West toward the ocean.  This morning, since I started later than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089832 - usual, he had already reached the ocean, and was headed back in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089833 - East direction.  He was kind to say something like "I'm another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089834 - runner.  I know nobody expects there will be another runner in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089835 - park at this hour."  Thanked him for identification, and said "Oh,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089836 - I've seen you many times!"  He jogged on ahead.  About mile 4 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089837 - past Lindley Meadow then Hellman Hollow feeling some burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089838 - ball of both feet, but mostly right foot.  Beginning to encounter few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089839 - bikers and runners, likely from USF, going the other way (West) out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089840 - toward the ocean.  Most are on the other side of the street.  Many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089841 - bikers are equipped with a headlight.  The runners have headlamps that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089842 - bob around, so it is easy to distinguish runners and hikers from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089843 - bikers whose headlights appear more steady.  On reaching De Young                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089844 - Museum about mile 5 burning sensation in balls of feet has mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089845 - subsided.  Increased pace.  Biker and runner/hiker traffic seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089846 - lighter than on prior hikes through Golden Gate Park.  Fully daylight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089847 - Can see the street and trees in the park.  Nearing the end of JFK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089848 - Drive, crossed the street to make left turn onto Stanyon.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089849 - uphill on Stanyon several blocks to Fulton; crossed over and hiked few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089850 - more blocks downhill to Paramont street across from Koret Health and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089851 - Recreation Center, part of USF.  Touched the wall at Ann's house;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089852 - turned and started back - still pain level 0.  Morning commute traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089853 - is now steady flow through park on JFK.  Hiked on South side against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089854 - traffic going West.  Passing De Young Museum increased pace - feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089855 - very good.  Someone road by on a bicycle that uses "ski-like" pedals.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089856 - Another person sped by on special elongated skates, and propelling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089857 - himself with ski poles.  Just past De Young Museum raced another hiker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089858 - on the North side of JFK.  Caught him after a hundred yards or so, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089859 - he started jogging and pulled ahead, so let him go.  Nearing the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089860 - overhead bridge noticed the waterfall has not yet been activated for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089861 - the day.  Checked the cellphone and noticed time was 0648, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089862 - aligns with the park staff starting the waterfall at 0700.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089863 - under the bridge at 19th Avenue, and past Helman Hollow.  Somewhere                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089864 - along this part of the route began racing a woman, also on the North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089865 - side of the street.  She was slightly ahead, so sped up.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089866 - maintained her lead, so we had a race past Hellman Hollow and past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089867 - Lindley Medow.  When we reached the Spreckles Lake, she seemeed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089868 - turn right around the lake, so I thought the race was over.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089869 - Continuing past the Buffalow compound saw the same woman, but now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089870 - about 40 yards ahead.  Don't know if she ran or there was a short cut.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089871 - Increased speed, but she gradually pulled away.  Crossed over to her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089872 - side preparing for right turn onto the Great Highway, and the woman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089873 - passed me on her return route.  We both just waved.  The ocean was a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089874 - beautiful sight.  At Fulton crossed "The Great Highway" and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089875 - on the shoulder back toward the Cliff House and the hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089876 - Maintained pace hiking up the steep hill.  At the Cliff House made the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089877 - turn onto Point Lobos.  Raced another woman jogging uphill very slowly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089878 - due to the steep grade.  Caught up with her, but then she increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089879 - her jogging speed and pulled further ahead.  She slowed again, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089880 - of the steep grade, and I caught up again.  She turned saw me coming,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089881 - so increased her speed to prevent me passing.  At 48th Avenue, she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089882 - crossed with the traffic light, to the South side of the street and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089883 - disappeared, ending the race.  Hiked on to 42nd street.  Turning the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089884 - corner, a woman had crossed the street after exiting from a bus at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089885 - corner.  She was 15 yards or so ahead.  About half way up, caught and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089886 - passed her and beat her.  But cannot really count this because she was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089887 - in heels and carrying a big package.  Finally reached VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089888 - Clement.  Good hike with good pace all the way.  Did warm down hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089889 - around parking lot in front of the hospital.  Noticed no evident pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089890 - in feet nor knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089892 -  ..
089893 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089894 - cheese omlette sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089895 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089896 - Dinner - spaghetti asparagus mushrooms avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089898 -  ..
089899 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089903 -         ..
089904 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089905 -  116.  180426 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089906 -               1005....BP HR with Diff........................................... 136  70  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089907 -               1010....BP HR with Diff........................................... 121  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089908 -               1015....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089909 -               1015... 20 14020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089910 -               1015... 80 71680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089911 -               1015....1000  49000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089912 -               1015....200    2800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089913 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089914 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089915 -         * cr  1230....miles...........  11.0  51.00  172  794 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089916 -               1600....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089917 -               1605....BP HR with Diff........................................... 104  72  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089918 -               1610....BP HR with Diff........................................... 118  76  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089919 -               1700... 40 31880 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089920 -               1930............ 10 10080  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089921 -               1930............ 10  9670  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089922 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089923 -               2035... 40 12260 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089924 -               2050... 1000 1117000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089925 -               2140... 80 71740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089927 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089929 -  ..
089930 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089931 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089933 -  ..
089934 - Blood pressure good today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089935 - gastrointestinal drugs last night; BP okay after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089936 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089938 -  ..
089939 - Pain medication - acetaminaphen and ibuprofen may have helped during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089940 - hike, possibly less burning sensation on feet.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089941 - fatigued, but recovered well.  Very little pain in legs and feet going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089942 - up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089944 -  ..
089945 - Double socks - cut strip of black felt/wool cloth and weaved bewteen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089946 - toes of right foot.  This transferred some pressure from ball of foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089947 - to toe muscles, reducing burning sensation that has been occurring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089948 - Worked pretty well, supplementing pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089950 -  ..
089951 - Toe caps recommended by Mark Wachter at On-the-Run - none.  Ring toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089952 - on left foot suffered blister 3 days ago, so applied today.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089953 - to be effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089955 -  ..
089956 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089957 - On-the-Run shoe store, and which have no groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089958 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089959 - slight pain couple of times during hike today.  These were only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089960 - momentary.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089962 -  ..
089963 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089964 - tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089966 -  ..
089967 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089968 - work somewhat.  Pain level 2 but only a few times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089970 -  ..
089971 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089972 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089974 -  ..
089975 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089976 - do extra 1 mile at the end.  Starting energy okay, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089977 - 2, so slow pace.  No burning sensation across ball of feet.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089978 - 1.25 miles 18 minutes.  Continue slow pace on Clayton hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089979 - concrete sidewalk.  About mile 2 slight burning sensation right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089980 - Turned corner at mile 3.25 continued pace on concrete sidewalk.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089981 - to mile 3.5, then switched to asphault roadway.  Crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089982 - South Side to hike against Eastbound traffic flow.  Maintained slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089983 - pace because high Westerly winds against hiking West - time to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089984 - 4.25 70 minutes.  Continuing on Ygnacio Valley Road hiking against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089985 - strong wind.  Slight burning sensation right foot subsides.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089986 - 4.75 turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089987 - pace hiking uphill 1 mile all the way to the summit with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089988 - alteranively behind, from the side and against.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089989 - in right foot across ball of foot.  At the summit slowed pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089990 - ground.  Hiking downhill no pain in either knee.  May indicate PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089991 - treatments on 170726, and on 180105, still effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089992 - osteoarthritis.  Turned onto Rolling Woods Way.  Maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089993 - up steep hill for .3 miles with pain level 0.  Slowed pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089994 - downhill to prevent pain from right side of foot pressing on shoe -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089995 - little toe and ring toe pain level 0.  Turned corner onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089996 - Hiked 1 mile at normal pace on flat ground with pain level 0 in knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089997 - and feet.  Began feeling fatigue from hike so far.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089998 - Ygnacio Valley Road and hiked back to Crystal Ranch Road completing 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089999 - mile loop.  Continued uphill to Cowell against strong wind.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090000 - corner and hiked downhill to Treat and on home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090002 -  ..
090003 - Breakfast - cherrios chia seeds strawberries milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090004 - and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090005 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090006 - Dinner - spaghetti asparagus mushrooms avocado onion, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090008 -  ..
090009 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090014 -         ..
090015 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090016 -  117.  180427 0430..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090017 -               1000....BP HR with Diff........................................... 132  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090018 -               1005....BP HR with Diff........................................... 129  70  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090019 -               1010....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090020 -               1010... 20 14040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090021 -               1010... 80 71840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090022 -               1010....1000  50000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090023 -               1010....200    3000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090024 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090025 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090026 -         * cr  1210....miles...........  13.0  64.00  204  998 minutes temp  64 strong Westerly wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090027 -               1610....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090028 -               1615....BP HR with Diff........................................... 112  73  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090029 -               1620....BP HR with Diff........................................... 115  79  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090030 -               1700... 40 31920 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090031 -             1 0000............ 10 10080  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090032 -             1 0000............ 10  9670  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090033 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090034 -               2035... 40 12300 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090035 -               2050... 1000 1118000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090036 -               2140... 80 71920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090038 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090040 -  ..
090041 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090042 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090044 -  ..
090045 - Blood pressure okay today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090046 - gastrointestinal drugs last night; BP okay after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090047 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090049 -  ..
090050 - Pain medication - acetaminaphen and ibuprofen may have helped during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090051 - hike, possibly less burning sensation on feet.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090052 - fatigued, but recovered well.  No pain in legs and feet going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090053 - down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090055 -  ..
090056 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090058 -  ..
090059 - Toe caps recommended by Mark Wachter at On-the-Run - Little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090060 - ring toe on left foot, same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090062 -  ..
090063 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090064 - On-the-Run shoe store, and which have no groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090065 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate no pain entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090066 - hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090068 -  ..
090069 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090070 - tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090072 -  ..
090073 - Blisters bottom both feet below big toe - dressed with protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090074 - pad and white tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090076 -  ..
090077 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090078 - work somewhat.  Pain level 2 but only a few times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090080 -  ..
090081 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090082 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090084 -  ..
090085 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090086 - do extra 1 mile at the end.  Starting low energy, calfs pain level 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090087 - so slow pace.  No burning sensation across ball of feet. time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090088 - miles 19 minutes.  Maintained slow pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090089 - sidewalk.  About mile 2 slight burning sensation right foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090090 - corner at mile 3.25 continued pace on concrete sidewalk.  Calfs pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090091 - level 0.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090092 - Crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090093 - flow.  Road bends into strong Westerly wind.  Maintained pace against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090094 - wind - time to mile 4.25 70 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090095 - Road energy good, considered not doing extra 4-mile loop due to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090096 - wind.  However, at mile 4.75 turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090097 - Crystal Ranch Road.  Pace okay hiking uphill 1 mile all the way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090098 - the summit against strong cross-wind.  No burning sensation in right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090099 - foot across ball of foot.  At the summit slowed pace on flat ground in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090100 - elevated temperature.  Hiking downhill no pain in either knee.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090101 - indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090102 - preventing osteoarthritis.  Turned onto Rolling Woods Way.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090103 - pace going with Westerly wind and up steep hill for .3 miles with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090104 - level 0.  Slowed pace going downhill prevent injurying knees and feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090105 - Turned corner onto Pine Hollow.  Hiked 1 mile at normal pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090106 - ground with pain level 0 in knees and feet.  Turned onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090107 - Valley Road and hiked against strong wind back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090108 - completing 4 mile loop.  Within 200 yards after turning corner right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090109 - foot achilles tendon seemed to collapse for several steps.  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090110 - pain level 4 half way between heel and calf muscle.  After 50 yards or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090111 - so this stopped, but repeated several times.  Continued uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090112 - Cowell.  Decided to continue past Cowell despite strong Westerly wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090113 - Achilles tendon collapse occurred before reaching summit, but stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090114 - repeating going downhill 2 miles to Oak Grove, and for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090115 - Turned corner onto Oak Grove.  Called Kathy to pick me up at corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090116 - Oak Grove and Treat.  Hiked another mile and got ride home with Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090117 - for 13 mile hike.  This was good effort for wind and achilles heel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090118 - problems.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090120 -  ..
090121 - Breakfast - cherrios chia seeds strawberries milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090122 - and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090123 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090124 - Dinner - pizza beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090126 -  ..
090127 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090131 -         ..
090132 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090133 -  118.  180428 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090134 -               0930....BP HR with Diff........................................... 135  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090135 -               0935....BP HR with Diff........................................... 127  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090136 -               0940....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090137 -               0940... 20 14060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090138 -               0940... 80 72000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090139 -               0940....1000  51000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090140 -               0940....200    3200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090141 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090142 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090143 -         * cr  1125....miles...........  13.0  77.00  201 1199 minutes temp  59 strong Westerly wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090144 -               1525....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090145 -               1530....BP HR with Diff........................................... 118  78  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090146 -               1555....BP HR with Diff........................................... 116  68  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090147 -               1600... 40 31960 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090148 -               2000............ 10 10090  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090149 -               2000............ 10  9680  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090150 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090151 -               2105... 40 12340 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090152 -               2120... 1000 1119000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090153 -               2210... 80 72080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090155 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090157 -  ..
090158 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090159 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090161 -  ..
090162 - Blood pressure okay today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090163 - gastrointestinal drugs last night; BP okay after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090164 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090166 -  ..
090167 - Pain medication - acetaminaphen and ibuprofen may have helped during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090168 - hike, possibly less burning sensation on feet.  Noticed minor pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090169 - level 2 periodically going up and down steep hills in right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090170 - plantar plate injury.  After hike body seems fatigued, but recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090171 - well.  No pain in legs and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090173 -  ..
090174 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090176 -  ..
090177 - Toe caps recommended by Mark Wachter at On-the-Run - Little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090178 - ring toe on left foot, same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090180 -  ..
090181 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090182 - On-the-Run shoe store, and which have no groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090183 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090184 - periodically going up and down steep hills in right foot.  Tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090185 - will switch to inserts with groove in bottom.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090186 - fatigued, but recovered pain entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090188 -  ..
090189 - Plantar plate right foot injury - periodic pain level 2 - 3 going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090190 - and down hills - only lasted 10 - 20 steps then subsided.  Tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090191 - will switch orthotic inserts to the set with groove cut to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090192 - pressure on plantar plate injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090194 -  ..
090195 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090196 - tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090198 -  ..
090199 - Blisters bottom both feet below big toe - dressed with protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090200 - pad and white tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090202 -  ..
090203 - Tailor's Bunion left foot - applied new protective casing - seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090204 - work somewhat.  Pain level 3 30% of time.  Will try different scheme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090205 - tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090207 -  ..
090208 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090209 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090211 -  ..
090212 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090213 - do extra 1 mile at the end.  Starting good energy, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090214 - 0, so fast pace.  No burning sensation across ball of feet. time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090215 - 1.25 miles 17 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090216 - sidewalk.  About mile 2 slight burning sensation right foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090217 - corner at mile 3.25 continued pace on concrete sidewalk.  Calfs pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090218 - level 0.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090219 - Crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090220 - flow.  Road bends into strong Westerly wind.  Maintained pace against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090221 - wind - time to mile 4.25 65 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090222 - Road energy good but slower pace into strong wind.  At mile 4.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090223 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Pace okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090224 - hiking uphill 1 mile all the way to the summit against cross-wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090225 - No burning sensation in right foot across ball of foot.  Pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090226 - periodically right foot plantar plate injury.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090227 - maintained pace on flat ground.  Hiking downhill no pain in either                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090228 - knee.  May indicate PRP treatments on 170726, and on 180105, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090229 - effective preventing osteoarthritis.  Periodic pain level 2 - 3 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090230 - foot plantar plate injury.  Turned onto Rolling Woods Way.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090231 - pace going with Westerly wind and up steep hill for .3 miles with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090232 - level 0.  Slowed pace going downhill prevent injurying knees and feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090233 - Periodic pain level 2 right foot plantar plate injury.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090234 - onto Pine Hollow.  Hiked 1 mile at normal pace on flat ground with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090235 - pain level 0 in knees and feet.  Turned onto Ygnacio Valley Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090236 - hiked against strong wind back to Crystal Ranch Road completing 4 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090237 - loop.  Right foot achilles tendon did not repeat collapse for several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090238 - steps, as occurred yesterday.  Pain level 0 right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090239 - injury, so increased pace uphill against wind to Cowell.  Continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090240 - past Cowell to Ygnacio Valley Road summit despite strong Westerly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090241 - wind.  Hiked downhill 2 miles to Oak Grove.  Turned corner onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090242 - Grove.  Called Kathy to pick me up at corner of Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090243 - Hiked another mile and got ride home with Kathy for 13 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090244 - This was good effort for wind, but disappointing plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090245 - pain recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090247 -  ..
090248 - Breakfast - cherrios chia seeds strawberries milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090249 - and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090250 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090251 - Dinner - noodles roast beef celery onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090253 -  ..
090254 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090258 -         ..
090259 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090260 -  119.  180429 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090261 -               0910....BP HR with Diff........................................... 122  72  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090262 -               0915....BP HR with Diff........................................... 125  72  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090263 -               0920....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090264 -               0920... 20 14080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090265 -               0920... 80 72160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090266 -               0000....1000  51000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090267 -               0000....200    3200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090268 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090269 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090270 -         * cr  1020....miles...........  11.0  88.00  167 1366 minutes temp  63 strong Westerly wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090271 -               1350....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090272 -               1550....BP HR with Diff........................................... 125  69  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090273 -               1555....BP HR with Diff........................................... 124  70  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090274 -               1600... 40 32000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090275 -             1 0000............ 10 10090  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090276 -             1 0000............ 10  9680  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090277 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090278 -               2020... 40 12380 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090279 -               2040... 1000 1120000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090280 -               2150... 80 72240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090282 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090284 -  ..
090285 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090286 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090288 -  ..
090289 - Blood pressure okay today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090290 - gastrointestinal drugs last night; BP okay after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090291 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090293 -  ..
090294 - Pain medication - none  Minimal burning sensation on feet.  Noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090295 - minor pain level 2 periodically going up and down steep hills in right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090296 - foot plantar plate injury.  Right knee pain level 2 a few times for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090297 - short distance.  Left knee pain level 2 once for short distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090298 - After hike body seems fatigued, but recovered well.  No pain in legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090299 - and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090301 -  ..
090302 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090304 -  ..
090305 - Toe caps recommended by Mark Wachter at On-the-Run - Little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090306 - ring toe on left foot, same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090308 -  ..
090309 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090310 - On-the-Run shoe store; switched to set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090311 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090312 - periodically going up and down steep hills in right foot, and without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090313 - pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090315 -  ..
090316 - Plantar plate right foot injury - periodic pain level 1 - 2 going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090317 - and down hills - only lasted 10 - 20 steps then subsided, and without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090318 - pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090320 -  ..
090321 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090322 - tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090324 -  ..
090325 - Blisters bottom both feet below big toe - dressed with protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090326 - pad and white tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090328 -  ..
090329 - Tailor's Bunion left foot - applied polyurithane panel with hole cut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090330 - to relieve pressure on protrusion.  Worked well, pain level 0 all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090331 - way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090333 -  ..
090334 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090335 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090337 -  ..
090338 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090339 - do extra 1 mile at the end.  Starting good energy, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090340 - 2, so slow pace.  No burning sensation across ball of feet. time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090341 - 1.25 miles 19 minutes.  Maintained slow pace on Clayton hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090342 - concrete sidewalk.  About mile 2 right foot plantar plate injury pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090343 - level 2 for short distance.  Turned corner at mile 3.25 continued slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090344 - pace on concrete sidewalk.  Calfs pain level 2.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090345 - then switched to asphault roadway.  Crossed from North to South Side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090346 - to hike against Eastbound traffic flow.  Road bends into strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090347 - Westerly wind.  Maintained pace against wind - time to mile 4.25 70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090348 - minutes.  Continuing on Ygnacio Valley Road energy good but slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090349 - pace into strong wind.  At mile 4.75 turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090350 - loop on Crystal Ranch Road.  Pace okay hiking uphill 1 mile all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090351 - way to the summit with tail wind.  No burning sensation in right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090352 - across ball of foot.  Pain level 2 periodically right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090353 - plate injury.  At the summit maintained pace on flat ground.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090354 - downhill pain level 2 right knee - not sure location, but subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090355 - within 200 yards.  May indicate PRP treatments on 170726, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090356 - 180105, still effective preventing osteoarthritis.  Periodic pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090357 - level 2 - 3 right foot plantar plate injury.  Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090358 - Woods Way.  Increased pace going with Westerly wind and up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090359 - for .3 miles with pain level 0.  Going downhill periodic pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090360 - left knee - slowed pace prevent injuring knees and feet.  Periodic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090361 - pain level 2 right foot plantar plate injury.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090362 - Hollow.  Hiked 1 mile at normal pace on flat ground with pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090363 - in knees and feet.  Turned onto Ygnacio Valley Road and hiked against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090364 - wind back to Crystal Ranch Road completing 4 mile loop.  Felt strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090365 - so turned corner again onto Crystal Ranch Road and began 2nd-4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090366 - loop.  Pain level 0 right foot plantar plate injury and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090367 - both knees.  Called Kathy to meet me at top of hill.  Hiked to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090368 - - Kathy arrived 15 minutes later.  Very good hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090370 -  ..
090371 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090372 - Lunch - half hamburger and few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090373 - Dinner - spaghetti avocado cellery onion asparagus tomato, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090374 - straberries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090376 -  ..
090377 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090381 -         ..
090382 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090383 -  120.  180430 0630..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090384 -               0645....BP HR with Diff........................................... 133  71  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090385 -               0650....BP HR with Diff........................................... 131  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090386 -               0655....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090387 -               0655... 20 14100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090388 -               0655... 80 72320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090389 -               0000....1000  51000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090390 -               0000....200    3200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090391 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090392 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090393 -         * cr  1010....miles...........  13.0  13.00  198  198 minutes temp  65 strong South wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090394 -               1355....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090395 -               1400....BP HR with Diff........................................... 111  79  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090396 -               1405....BP HR with Diff........................................... 112  67  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090397 -               1730... 40 32040 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090398 -               2000............ 10 10100  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090399 -               2000............ 10  9690  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090400 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090401 -               2110... 40 12420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090402 -               2130... 1000 1121000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090403 -               2210... 80 72400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090405 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090407 -  ..
090408 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090409 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090411 -  ..
090412 - Blood pressure okay today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090413 - gastrointestinal drugs last night; BP okay after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090414 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090416 -  ..
090417 - Pain medication - none  Minimal burning sensation on feet.  Noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090418 - minor pain level 2 periodically going up and down steep hills in right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090419 - foot plantar plate injury.  Right knee pain level 2 a few times for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090420 - short distance.  Left knee pain level 2 once for short distance.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090421 - level 5 both knees once jogging downhill.  After hike body seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090422 - fatigued, but recovered well.  No pain in legs and feet going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090423 - down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090425 -  ..
090426 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090428 -  ..
090429 - Toe caps recommended by Mark Wachter at On-the-Run - Little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090430 - ring toe on left foot, same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090432 -  ..
090433 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090434 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090435 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090436 - periodically going up and down steep hills in right foot, and without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090437 - pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090439 -  ..
090440 - Plantar plate right foot injury - periodic pain level 1 - 2 going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090441 - and down hills - only lasted 10 - 20 steps then subsided, and without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090442 - pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090444 -  ..
090445 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090446 - tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090448 -  ..
090449 - Blisters bottom both feet below big toe - dressed with protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090450 - pad and white tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090452 -  ..
090453 - Tailor's Bunion left foot - applied polyurithane panel with hole cut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090454 - to relieve pressure on protrusion.  Worked well, pain level 0 all the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090455 - way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090457 -  ..
090458 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090459 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090461 -  ..
090462 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090463 - do extra 1 mile at the end.  Starting good energy, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090464 - 0, so fast pace.  No burning sensation across ball of feet. time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090465 - 1.25 miles 17 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090466 - sidewalk.  Right foot plantar plate injury pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090467 - corner at mile 3.25  Calfs pain level 2, so slowed pace.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090468 - mile 3.5, then switched to asphault roadway.  Crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090469 - South Side to hike against Eastbound traffic flow.  Road bends into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090470 - strong Westerly wind.  Slower pace against wind - time to mile 4.25 64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090471 - minutes.  Continuing on Ygnacio Valley Road energy good but slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090472 - pace into strong cross wind.  At mile 4.75 turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090473 - 4-mile loop on Crystal Ranch Road.  Pace slow hiking uphill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090474 - all the way to the summit against strong headwind.  No burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090475 - sensation in right foot across ball of foot.  Pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090476 - periodically right foot plantar plate injury.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090477 - maintained slow pace on flat ground hiking against wind.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090478 - downhill pain level 2 right knee - not sure location, but subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090479 - within 200 yards.  May indicate PRP treatments on 170726, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090480 - 180105, still effective preventing osteoarthritis.  Periodic pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090481 - level 2 - 3 right foot plantar plate injury.  Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090482 - Woods Way.  Increased pace going with Westerly wind and up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090483 - for .3 miles with pain level 0.  Going downhill periodic pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090484 - left knee - slowed pace prevent injuring knees and feet.  Periodic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090485 - pain level 2 right foot plantar plate injury.  Nearing bottom of hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090486 - pain level 5 left knee for short distance - slowed pace again.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090487 - corner onto Pine Hollow.  Hiked 1 mile at normal pace on flat ground                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090488 - with pain level 0 in knees and feet.  Turned onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090489 - and hiked against wind back to Crystal Ranch Road completing 4 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090490 - loop.  Hiked uphill to Cowell still against wind.  Good pace uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090491 - felt okay, so continued up Ygnacio Valley Road increasing pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090492 - summit.  Going downhill felt okay, so light jogging about a mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090493 - Suddenly pain level 3 both knees so slowed pace next mile.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090494 - corner onto Oak Grove with pain level 0 feet and knees.  Called Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090495 - to meet at corner of Oak Grove and Treat.  Hiked another mile and met                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090496 - Kathy to end hike.  May try pain medication tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090498 -  ..
090499 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090500 - Lunch - sandwich ham cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090501 - Dinner - hot dog cottage cheese avocado brocolli tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090503 -  ..
090504 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090508 -         ..
090509 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090510 -  121.  180501 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090511 -               0805....BP HR with Diff........................................... 139  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090512 -               0810....BP HR with Diff........................................... 140  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090513 -               0815....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090514 -               0815... 20 14120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090515 -               0815... 80 72480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090516 -               0815....1000  52000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090517 -               0815....200    3400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090518 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090519 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090520 -         * cr  1225....miles...........  15.0  28.00  235  433 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090521 -               1705....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090522 -               1710....BP HR with Diff........................................... 102  71 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090523 -               1715....BP HR with Diff........................................... 110  73 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090524 -               1800... 40 32080 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090525 -             1 0000............ 10 10100  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090526 -             1 0000............ 10  9690  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090527 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090528 -               0000... 40 12420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090529 -               2130... 1000 1122000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090530 -               2210... 80 72560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090532 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090534 -  ..
090535 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090536 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090538 -  ..
090539 - Mylanta - skipped today to reduce dehydration beginning to cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090540 - peeling on feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090542 -  ..
090543 - Blood pressure high today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090544 - gastrointestinal drugs last night; BP okay after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090545 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090547 -  ..
090548 - Pain medication - acetaminophen ibuprofen.  Minimal burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090549 - on feet.  Noticed minor pain level 2 periodically going up and down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090550 - steep hills in right foot plantar plate injury.  Right knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090551 - 0 and left knee pain level 0.  After hike body seems fatigued, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090552 - recovered well.  No pain in legs and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090554 -  ..
090555 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090557 -  ..
090558 - Toe caps recommended by Mark Wachter at On-the-Run - Little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090559 - ring toe on left foot, same on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090561 -  ..
090562 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090563 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090564 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090565 - periodically going up and down steep hills in right foot, and without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090566 - pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090568 -  ..
090569 - Plantar plate right foot injury - periodic pain level 1 - 2 going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090570 - and down hills - only lasted 10 - 20 steps then subsided, with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090571 - medication today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090573 -  ..
090574 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090575 - tape.  Worked well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090577 -  ..
090578 - Blisters bottom both feet below big toe - no dressing today.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090579 - well.  Did not feel this during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090581 -  ..
090582 - Tailor's Bunion left foot - applied protective gel pad and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090583 - Worked well, pain level 0 all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090585 -  ..
090586 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090587 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090589 -  ..
090590 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090591 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090592 - calfs pain level 0. time to 1.25 miles 18 minutes.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090593 - on Clayton hiking on concrete sidewalk.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090594 - injury pain level 0.  About mile 2 swelling vertical line from long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090595 - toe to arch - has not occurred for several months.  Mile 2.75 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090596 - K-Mart swelling subsides, burning sensation.  Turned corner at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090597 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090598 - from North to South Side to hike against Eastbound traffic flow.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090599 - wind today.  Time mile 4.25 64 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090600 - Road energy good.  Pressure on right foot vertical bubble subsides.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090601 - Going slow.  At mile 4.75 turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090602 - Crystal Ranch Road.  At summit 1 mile on flat area.  No burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090603 - sensation in right foot across ball of foot.  Pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090604 - periodically right foot plantar plate injury.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090605 - maintained slow pace on flat ground.  So far both knees pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090606 - May indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090607 - preventing osteoarthritis.  Periodic pain level 1 - 2 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090608 - plantar plate injury.  Turned onto Rolling Woods Way.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090609 - going up steep hill for .3 miles with pain level 0.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090610 - slowed pace prevent injuring knees and feet.  Periodic pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090611 - right foot plantar plate injury.  Turned corner onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090612 - Hiked 1 mile at normal pace on flat ground with pain level 0 in knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090613 - and feet.  Turned onto Ygnacio Valley Road and hiked back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090614 - Ranch Road completing 4 mile loop.  Hiked uphill to Cowell.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090615 - uphill, felt okay, so continued up Ygnacio Valley Road increasing pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090616 - to summit.  Going downhill felt okay for 2 miles all the way to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090617 - Grove.  Turned corner onto Oak Grove with pain level 0 feet and knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090618 - Hiked 1 mile to Treat.  Ran across intersection to beat yellow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090619 - traffic light.  Slowed pace on Treat for .5 miles; increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090620 - going uphill for .5 miles to summit.  Maintained pace .5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090621 - Cuneo.  Slowed pace warming down doing loop on Kaski, Cowell, Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090622 - back to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090624 -  ..
090625 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090626 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090627 - Dinner - pizza, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090629 -  ..
090630 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090634 -         ..
090635 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090636 -  122.  180502 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090637 -               0850....BP HR with Diff........................................... 130  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090638 -               0855....BP HR with Diff........................................... 135  77  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090639 -               0900....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090640 -               0900... 20 14140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090641 -               0900... 80 72640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090642 -               0000....1000  52000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090643 -               0000....200    3400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090644 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090645 -               0900... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090646 -         * cr  1230....miles...........  15.0  43.00  256  689 minutes temp  67 strong West wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090647 -               1715....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090648 -               1720....BP HR with Diff........................................... 100  69 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090649 -               1725....BP HR with Diff...........................................  91  72  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090650 -               1800... 40 32120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090651 -               1935............ 10 10110  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090652 -               1935............ 10  9700  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090653 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090654 -            *1 0000... 40 12420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090655 -               2030... 1000 1123000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090656 -               2150... 80 72720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090658 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090660 -  ..
090661 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090662 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090664 -  ..
090665 - *1 Mylanta - skipped today to reduce dehydration beginning to cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090666 - peeling on feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090668 -  ..
090669 - Blood pressure high today, before hiking taking normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090670 - gastrointestinal drugs last night; BP good after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090671 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090673 -  ..
090674 - Pain medication - hydrocodone (Norco).  Minimal burning sensation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090675 - feet.  Minor pain level 1 - 2 periodically going up and down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090676 - hills in right foot plantar plate injury.  Right knee pain level 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090677 - left knee pain level 0.  After hike body seems fatigued, but recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090678 - well.  No pain in legs and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090680 -  ..
090681 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090683 -  ..
090684 - Toe caps recommended by Mark Wachter at On-the-Run - Little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090685 - ring toe on left foot, nothing on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090687 -  ..
090688 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090689 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090690 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 1 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090691 - 2 periodically going up and down steep hills in right foot, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090692 - without pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090694 -  ..
090695 - Plantar plate right foot injury - minimal periodic pain level 1 - 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090696 - going up and down hills - only lasted 10 - 20 steps then subsided,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090697 - with pain medication today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090699 -  ..
090700 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090701 - tape.  Worked poorly.  Need bigger pad, and need callus removed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090703 -  ..
090704 - Callus right foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090705 - tape.  Worked poorly.  Need bigger pad, and need callus removed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090707 -  ..
090708 - Blisters bottom both feet below big toe - dressing today with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090709 - protective gel.  Worked poorly.  Need bigger pad.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090711 -  ..
090712 - Tailor's Bunion left foot - applied protective gel pad and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090713 - Worked well, pain level 0 all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090715 -  ..
090716 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090717 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090719 -  ..
090720 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090721 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090722 - calfs pain level 0. time to 1.25 miles 17 minutes.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090723 - on Clayton hiking on concrete sidewalk.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090724 - injury pain level 0.  No swelling vertical line from long toe to arch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090725 - as occurred yesterday.  Turned corner at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090726 - 3.5, then switched to asphault roadway.  Crossed from North to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090727 - Side to hike against Eastbound traffic flow.  Slight wind today.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090728 - mile 4.25 66 minutes.  Continuing on Ygnacio Valley Road energy good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090729 - Going slow.  At mile 4.75 turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090730 - Crystal Ranch Road.  At summit 1 mile on flat area.  Pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090731 - periodically right foot plantar plate injury.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090732 - maintained slow pace on flat ground, and going down steep hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090733 - Rolling Woods Way.  So far both knees pain level 0.  May indicate PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090734 - treatments on 170726, and on 180105, still effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090735 - osteoarthritis.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090736 - up steep hill for .3 miles with pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090737 - pace prevent injuring knees and feet.  Periodic pain level 1 - 2 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090738 - foot plantar plate injury.  Turned corner onto Pine Hollow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090739 - mile at slow pace on flat ground with pain level 0 in knees and feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090740 - Turned onto Ygnacio Valley Road and hiked back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090741 - completing 4 mile loop.  Hiked uphill to Cowell.  Good pace uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090742 - felt okay, so continued up Ygnacio Valley Road increasing pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090743 - summit.  Going downhill felt okay for 2 miles slow all the way to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090744 - Grove.  Turned corner onto Oak Grove and hiked 1 mile with pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090745 - 0 feet and knees, pain level 2 calluses both big toes.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090746 - onto Treat.  Walked up Treat on South side until break in traffic with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090747 - stop light, then ran across the street to North side.  Slowed pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090748 - Treat for .5 miles; maintained slow pace going uphill for .5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090749 - summit.  Maintained pace .5 miles to Cuneo, and warming down doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090750 - loop on Kaski, Cowell, Treat back to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090752 -  ..
090753 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090754 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090755 - Dinner - spaghetti brocolli onion tomato avocado, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090757 -  ..
090758 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090762 -         ..
090763 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090764 -  123.  180503 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090765 -               0845....BP HR with Diff........................................... 148  77  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090766 -               0850....BP HR with Diff........................................... 125  76  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090767 -               0900....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090768 -               0900... 20 14180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090769 -               0900... 80 72800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090770 -               0900....1000  53000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090771 -               0900....200    3600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090772 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090773 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090774 -         * cr  1130....miles...........  15.0  58.00  250  939 minutes temp  71 strong West wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090775 -               1615....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090776 -               1625....BP HR with Diff........................................... 102  71 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090777 -               1630....BP HR with Diff........................................... 113  80  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090778 -               1700... 40 32160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090779 -             1 0000............ 10 10110  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090780 -             1 0000............ 10  9700  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090781 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090782 -            *1 0000... 40 12420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090783 -               1940... 1000 1124000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090784 -               2120... 80 72880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090786 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090788 -  ..
090789 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090790 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090792 -  ..
090793 - *1 Mylanta - skipped today to reduce dehydration beginning to cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090794 - peeling on feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090796 -  ..
090797 - Blood pressure good today, before hiking taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090798 - gastrointestinal drugs last night; BP good after hike for distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090799 - speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090801 -  ..
090802 - Pain medication - acetaminophen ibuprofen.  Minimal burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090803 - on feet.  Minor pain level 1 periodically going up and down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090804 - hills in right foot plantar plate injury.  Right knee pain level 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090805 - left knee pain level 0.  After hike body seems fatigued, but recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090806 - well.  No pain in legs and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090808 -  ..
090809 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090811 -  ..
090812 - Toe caps recommended by Mark Wachter at On-the-Run - Little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090813 - ring toe on left foot, nothing on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090815 -  ..
090816 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090817 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090818 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090819 - periodically going up and down steep hills in right foot, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090820 - pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090822 -  ..
090823 - Plantar plate right foot injury - minimal periodic pain level 1 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090824 - up and down hills - only lasted 5 - 10 steps then subsided, with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090825 - medication today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090827 -  ..
090828 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090829 - tape.  Worked poorly.  Need Podiatry to cut off callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090831 -  ..
090832 - Callus right foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090833 - tape.  Worked poorly.  Need callus removed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090835 -  ..
090836 - Blisters bottom both feet below big toe - dressing today with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090837 - protective gel.  Worked poorly.  Need bigger pad.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090839 -  ..
090840 - Tailor's Bunion left foot - applied protective gel pad and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090841 - Worked well, pain level 0 all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090843 -  ..
090844 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090845 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090847 -  ..
090848 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090849 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090850 - calfs pain level 0.  Felt right hamstring going slight uphill at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090851 - .7, so slowed pace; time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090852 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090853 - pain level 0.  No swelling vertical line from long toe to arch, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090854 - occurred yesterday.  Turned corner at mile 3.25.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090855 - then switched to asphault roadway.  Crossed from North to South Side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090856 - to hike against Eastbound traffic flow.  Slight wind today.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090857 - 4.25 69 minutes.  Continuing on Ygnacio Valley Road energy good, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090858 - increased pace.  At mile 4.75 turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090859 - Crystal Ranch Road.  Pain level 1 periodic right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090860 - injury going 1 mile uphill.  Felt right leg hamstring about half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090861 - way up so backed off pace.  At the summit maintained slow pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090862 - ground, and going down steep hill to Rolling Woods Way.  So far both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090863 - knees pain level 0.  May indicate PRP treatments on 170726, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090864 - 180105, still effective preventing osteoarthritis.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090865 - Rolling Woods Way.  Increased pace going up steep hill for .3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090866 - with pain level 0 - no right leg hamstring.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090867 - pace prevent injuring knees and feet.  Periodic pain level 1 - 2 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090868 - foot plantar plate injury.  Turned corner onto Pine Hollow.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090869 - mile at slow pace on flat ground with pain level 0 in knees and feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090870 - Turned onto Ygnacio Valley Road and hiked back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090871 - completing 4 mile loop.  Hiked uphill to Cowell.  Good pace uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090872 - felt okay, so continued past Cowell up Ygnacio Valley Road increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090873 - pace to summit.  Going downhill felt okay for 2 miles slow all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090874 - to Oak Grove.  Turned corner onto Oak Grove and hiked 1 mile with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090875 - level 2 feet and knees, pain level 3 calluses both big toes.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090876 - corner onto Treat.  Walked up Treat on South side until break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090877 - traffic with stop light, then ran across the street to North side.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090878 - Slowed pace on Treat for .5 miles; maintained slow pace going uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090879 - for .5 miles to summit.  Maintained pace .5 miles to Cuneo, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090880 - warming down doing loop on Kaski, Cowell, Treat back to Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090881 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090883 -  ..
090884 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090885 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090886 - Dinner - triscut cheese, noodles asparagus onion hot dog - few bites,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090887 - jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090889 -  ..
090890 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090894 -         ..
090895 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090896 -  124.  180504 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090897 -               0650....BP HR with Diff........................................... 125  78  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090898 -               0655....BP HR with Diff........................................... 127  79  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090899 -               0700....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090900 -               0700... 20 14200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090901 -               0700... 80 72960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090902 -               0700....1000  54000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090903 -               0700....200    3800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090904 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090905 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090906 -         * cr  0900....miles...........  11.0  69.00  172 1111 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090907 -               1220....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090908 -               1235....BP HR with Diff........................................... 115  78  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090909 -               1240....BP HR with Diff........................................... 111  73  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090910 -               1700... 40 32200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090911 -               2000............ 10 10120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090912 -               2000............ 10  9710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090913 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090914 -            *1 0000... 40 12420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090915 -               2100... 1000 1125000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090916 -               2120... 80 73040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090918 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090920 -  ..
090921 - Blood draw at Quest and at Labcorp today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090923 -  ..
090924 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090925 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090927 -  ..
090928 - *1 Mylanta - skipped today to reduce dehydration beginning to cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090929 - peeling on feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090931 -  ..
090932 - Blood pressure good today, but heart rate high, before hiking taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090933 - reduced gastrointestinal drugs last night; BP good after hike for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090934 - distance, speed and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090936 -  ..
090937 - Pain medication - acetaminophen ibuprofen.  Minimal burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090938 - on feet.  Minor pain level 1 periodically going up and down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090939 - hills in right foot plantar plate injury.  Right knee pain level 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090940 - left knee pain level 0.  After hike body seems fatigued, but recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090941 - well.  No pain in legs and feet going up and down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090943 -  ..
090944 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090946 -  ..
090947 - Toe caps recommended by Mark Wachter at On-the-Run - Little toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090948 - ring toe on left foot, nothing on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090950 -  ..
090951 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090952 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090953 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090954 - periodically going up and down steep hills in right foot, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090955 - pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090957 -  ..
090958 - Plantar plate right foot injury - minimal periodic pain level 1 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090959 - up and down hills - only lasted 5 - 10 steps then subsided, with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090960 - medication today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090962 -  ..
090963 - Callus left foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090964 - tape.  Worked poorly.  Need Podiatry to cut off callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090966 -  ..
090967 - Callus right foot big toe - dressed with protective gel pad and white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090968 - tape.  Worked poorly.  Need callus removed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090970 -  ..
090971 - Blisters bottom both feet below big toe - dressing today with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090972 - protective gel.  Worked poorly.  Need bigger pad.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090974 -  ..
090975 - Tailor's Bunion left foot - applied protective gel pad and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090976 - Worked well, pain level 0 all the way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090978 -  ..
090979 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090980 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090982 -  ..
090983 - Concord 10 mile route #1 reported on 101010, ref SDS 7 OZ4P, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090984 - do extra 1 mile at the end.  Starting good energy, calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090985 - 0, so fast pace.  No burning sensation across ball of feet. time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090986 - 1.25 miles 17 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090987 - sidewalk.  Right foot plantar plate injury pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090988 - corner at mile 3.25  Calfs pain level 2, so slowed pace.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090989 - mile 3.5, then switched to asphault roadway.  Crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090990 - South Side to hike against Eastbound traffic flow.  Road bends into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090991 - strong Westerly wind.  Slower pace against wind - time to mile 4.25 64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090992 - minutes.  Continuing on Ygnacio Valley Road energy good but slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090993 - pace into strong cross wind.  At mile 4.75 turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090994 - 4-mile loop on Crystal Ranch Road.  Pace slow hiking uphill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090995 - all the way to the summit against strong headwind.  No burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090996 - sensation in right foot across ball of foot.  Pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090997 - periodically right foot plantar plate injury.  At the summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090998 - maintained slow pace on flat ground hiking against wind.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090999 - downhill pain level 2 right knee - not sure location, but subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091000 - within 200 yards.  May indicate PRP treatments on 170726, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091001 - 180105, still effective preventing osteoarthritis.  Periodic pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091002 - level 2 - 3 right foot plantar plate injury.  Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091003 - Woods Way.  Increased pace going with Westerly wind and up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091004 - for .3 miles with pain level 0.  Going downhill periodic pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091005 - left knee - slowed pace prevent injuring knees and feet.  Periodic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091006 - pain level 2 right foot plantar plate injury.  Nearing bottom of hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091007 - pain level 5 left knee for short distance - slowed pace again.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091008 - corner onto Pine Hollow.  Hiked 1 mile at normal pace on flat ground                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091009 - with pain level 0 in knees and feet.  Turned onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091010 - and hiked against wind back to Crystal Ranch Road completing 4 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091011 - loop.  Hiked uphill to Cowell still against wind.  Good pace uphill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091012 - felt okay, so continued up Ygnacio Valley Road increasing pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091013 - summit.  Going downhill felt okay, so light jogging about a mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091014 - Suddenly pain level 3 both knees so slowed pace next mile.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091015 - corner onto Oak Grove with pain level 0 feet and knees.  Called Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091016 - to meet at corner of Oak Grove and Treat.  Hiked another mile and met                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091017 - Kathy to end hike.  May try pain medication tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091020 -  ..
091021 - Breakfast - cherrios chia seeds milk small serving for acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091022 - and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091023 - Lunch - sandwich ham cheese tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091024 - Dinner - noodles asparagus onion tuna cheese mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091026 -  ..
091027 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091031 -         ..
091032 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091033 -  125.  180505 0530..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091034 -               0550....BP HR with Diff........................................... 128  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091035 -               0555....BP HR with Diff........................................... 126  74  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091036 -               0600....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091037 -               0600... 20 14220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091038 -               0600... 80 73120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091039 -               0000....1000  54000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091040 -               0000....200    3800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091041 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091042 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091043 -               2040... 40 32240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091044 -             1 0000............ 10 10120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091045 -             1 0000............ 10  9710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091046 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091047 -            *1 0000... 40 12420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091048 -               2150... 1000 1126000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091049 -               2240... 80 73200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091051 -  ..
091052 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091053 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091055 -  ..
091056 - *1 Mylanta - skipped today to reduce dehydration beginning to cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091057 - peeling on feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091059 -  ..
091060 - Blood pressure good today, heart rate okay, taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091061 - gastrointestinal drugs last night;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091063 -  ..
091064 - Pain medication - none today, no hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091066 -  ..
091067 - Callus left foot big toe - used cutical scissors to cut callus down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091069 -  ..
091070 - Callus right foot big toe - used cutical scissors to cut callus down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091072 -  ..
091073 - Hiking - none, travel to Nipomo visit Bob, Robin and Vincent.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091076 -  ..
091077 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091078 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091079 - Dinner - noodles asparagus onion hamburger mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091081 -  ..
091082 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091086 -         ..
091087 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091088 -  126.  180506 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091089 -               1100....BP HR with Diff........................................... 148  81  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091090 -               1105....BP HR with Diff........................................... 138  78  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091091 -               1110....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091092 -               1110... 20 14240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091093 -               1110... 80 73280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091094 -               0000....1000  54000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091095 -               0000....200    3800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091096 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091097 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091098 -         * cr  1220....miles...........  13.0  82.00  201 1312 minutes temp  71 strong Westerly wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091099 -               1620....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091100 -               1625....BP HR with Diff........................................... 115  82  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091101 -               1640....BP HR with Diff........................................... 115  73  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091102 -               1720... 40 32240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091103 -               1930............ 10 10120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091104 -               1930............ 10  9710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091105 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091106 -            *1 0000... 40 12420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091107 -               2040... 1000 1126000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091108 -               2130... 80 73360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091110 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091112 -  ..
091113 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091114 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091116 -  ..
091117 - *1 Mylanta - skipped today to reduce dehydration beginning to cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091118 - peeling on feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091120 -  ..
091121 - Blood pressure very high today, heart rate low, after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091122 - gastrointestinal drugs last night, and before hiking 13 miles today;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091123 - BP seems high after hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091125 -  ..
091126 - Pain medication - none today; pain level 0 except for tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091127 - left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091129 -  ..
091130 - Double socks only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091132 -  ..
091133 - Toe caps recommended by Mark Wachter at On-the-Run - none today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091134 - Worked pretty well - no feeling of blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091136 -  ..
091137 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091138 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091139 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091140 - entire hike, and without pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091142 -  ..
091143 - Plantar plate right foot injury - pain level 0 entire hike without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091144 - pain medication today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091146 -  ..
091147 - Callus left foot big toe - no dressing, pain level 0 entire hike after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091148 - cutting callus down on 180505, per above. ref SDS 0 F67O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091150 -  ..
091151 - Callus right foot big toe - no dressing, pain level 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091152 - after cutting callus down on 180505, per above. ref SDS 0 PRUR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091154 -  ..
091155 - Blisters bottom both feet below big toe - no dressing today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091156 - Worked well; pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091158 -  ..
091159 - Tailor's Bunion left foot - applied protective gel pad and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091160 - Worked well, pain level 0 most of way until mile 10, then pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091161 - 1 - 3 last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091163 -  ..
091164 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091165 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091167 -  ..
091168 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091169 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091170 - calfs pain level 0.  Time to 1.25 miles 18 minutes.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091171 - on Clayton hiking on concrete sidewalk.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091172 - injury pain level 0.  Mile 2 pain level 2 calfs and burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091173 - right ball of foot.  Turned corner at mile 3.25.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091174 - then switched to asphault roadway.  Crossed from North to South Side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091175 - to hike against Eastbound traffic flow.  Slight wind today.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091176 - 4.25 66 minutes.  Continuing on Ygnacio Valley Road against stronger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091177 - wind.  Mile 4.5 calfs pain level 0.  At mile 4.75 burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091178 - right ball of foot pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091179 - loop on Crystal Ranch Road.  Pain level 0 right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091180 - injury.  Maintained good pace going 1 mile uphill against strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091181 - wind.  At the summit slowed pace on flat ground, and going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091182 - hill to Rolling Woods Way.  So far both knees pain level 0.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091183 - indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091184 - preventing osteoarthritis.  Turned onto Rolling Woods Way.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091185 - pace aided by rear wind going up steep hill for .3 miles with pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091186 - level 0 - no right leg hamstring.  Going downhill slowed pace prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091187 - injuring knees and feet.  Pain level 0 right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091188 - injury.  Turned corner onto Pine Hollow.  Hiked 1 mile at slow pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091189 - flat ground with pain level 0 in knees and feet.  Turned onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091190 - Valley Road and hiked back to Crystal Ranch Road completing 4 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091191 - loop.  Hiked uphill against strong Westerly wind to Cowell.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091192 - uphill felt okay, so continued past Cowell up Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091193 - increasing pace to summit.  Going downhill against very strong wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091194 - felt okay for 2 miles all the way to Oak Grove.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091195 - Oak Grove.  Both feet felt like blisters forming, so called Kathy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091196 - meet at corner of Oak Grove and Treat.  Hiked 1 mile with pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091197 - feet.  Met Kathy and drove home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091199 -  ..
091200 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091201 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091202 - Dinner - macaroni cheese asparagus onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091204 -  ..
091205 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091209 -         ..
091210 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091211 -  127.  180507 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091212 -               0925....BP HR with Diff........................................... 131  75  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091213 -               0930....BP HR with Diff........................................... 137  73  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091214 -               0935....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091215 -               0935... 20 14260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091216 -               0935... 80 73440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091217 -               0000....1000  54000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091218 -               0000....200    3800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091219 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091220 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091221 -         * cr  1050....miles...........  10.0  10.00  157  157 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091222 -            *1 1330... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091223 -               1750....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091224 -               1755....BP HR with Diff........................................... 128  78  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091225 -               1800....BP HR with Diff........................................... 126  77  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091226 -               1900... 40 32280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091227 -             1 0000............ 10 10120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091228 -             1 0000............ 10  9710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091229 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091230 -            *2 0000... 40 12420 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091231 -               2110... 1000 1127000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091232 -               2250... 80 73520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091234 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091236 -  ..
091237 - *1 Not feeling well after hike, so during lunch at Mudville Grill took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091238 - 1 naproxen pill, because it was available.  Seemed to swallow well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091239 - with plenty of liquid.  Hopefully no impact on LESV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091241 -  ..
091242 - *2 Mylanta - skipped today to reduce dehydration beginning to cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091243 - peeling on feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091245 -  ..
091246 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091247 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091249 -  ..
091250 - Blood pressure very high today, heart rate low, after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091251 - gastrointestinal drugs last night, and before hiking 13 miles today;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091252 - BP seems high after hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091254 -  ..
091255 - Pain medication - none today; pain level 0 most of route; pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091256 - tailor's buion left foot until mile 1.5, then subsided.  About mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091257 - on way down Rolling Woods Way developed blister feeling below left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091258 - foot big toe, and on ring toe and little toe right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091260 -  ..
091261 - Double socks only and applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091262 - toes right foot.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091264 -  ..
091265 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091266 - toe and ring toe.  Same right foot.  About mile 8, on way down Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091267 - Woods Way developed blister feeling below left foot big toe, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091268 - ring toe and little toe right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091270 -  ..
091271 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091272 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091273 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091274 - entire hike, and without pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091276 -  ..
091277 - Plantar plate right foot injury - pain level 0 entire hike without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091278 - pain medication today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091280 -  ..
091281 - Callus left foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091282 - above, ref SDS 0 F67O, pain level 0 entire hike without pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091283 - medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091285 -  ..
091286 - Callus right foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091287 - above. ref SDS 0 PRUR, applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091288 - toe, long toe, middle toe and ring toe.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091290 -  ..
091291 - Blisters bottom both feet below big toe - no dressing today.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091292 - well; pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091294 -  ..
091295 - Tailor's Bunion left foot - used circular pad with hole in middle, cut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091296 - in half and then trimmed both sides, placed on either side of wound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091297 - Placed lambs wool between separated pad sections and held in place                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091298 - with white tape.  Pain level 2 for about 2 miles, then pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091299 - rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091301 -  ..
091302 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091303 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091305 -  ..
091306 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091307 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091308 - calfs pain level 0.  Left foot tailor's bunion pain level 2.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091309 - 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091310 - sidewalk.  Right foot plantar plate injury pain level 0.  Mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091311 - tailor's bunion left foot pain level 0.  Burning sensation right ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091312 - of foot.  Turned corner at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091313 - switched to asphault roadway.  Crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091314 - hike against Eastbound traffic flow.  Slight wind today.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091315 - 4.25 69 minutes.  Continuing on Ygnacio Valley Road against slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091316 - wind.  Mile 4.5 calfs pain level 0.  At mile 4.75 burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091317 - right ball of foot pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091318 - loop on Crystal Ranch Road.  Pain level 0 right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091319 - injury.  Maintained good pace going 1 mile uphill against no wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091320 - At the summit slowed pace on flat ground, and going down steep hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091321 - Rolling Woods Way.  So far both knees pain level 0.  May indicate PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091322 - treatments on 170726, and on 180105, still effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091323 - osteoarthritis.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091324 - up steep hill for .3 miles with pain level 0 - no right leg hamstring.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091325 - Going downhill slowed pace prevent injuring knees and feet.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091326 - level 0 right foot plantar plate injury.  Pain level 3 right foot big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091327 - toe and left foot ring toe and little toe.  Called Kathy to meet at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091328 - Mudville Grill for lunch.  Turned corner onto Pine Hollow.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091329 - miles on flat ground with pain level 0 in knees and pain level 2 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091330 - feet.  Turned onto Mitchell Canyon Road.  Before reaching Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091331 - Road, Kathy arrived and drove us rest of way to Mudville Grill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091333 -  ..
091334 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091335 - Lunch - half hamburger onion tomato few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091336 - Dinner - macaroni cheese asparagus onion mushrooms, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091338 -  ..
091339 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091343 -         ..
091344 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091345 -  128.  180508 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091346 -               0825....BP HR with Diff........................................... 132  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091347 -               0830....BP HR with Diff........................................... 129  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091348 -               0835....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091349 -               0835... 20 14280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091350 -               0835... 80 73600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091351 -               0000....1000  54000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091352 -               0000....200    3800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091353 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091354 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091355 -         * cr  1050....miles...........  15.0  25.00  243  400 minutes temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091356 -               1515....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091357 -               1525....BP HR with Diff...........................................  98  71 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091358 -               1530....BP HR with Diff...........................................  90  68 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091359 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091360 -               1730... 40 32320 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091361 -               1940............ 10 10130  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091362 -               1940............ 10  9720  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091363 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091364 -               2050... 40 12460 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091365 -               2120... 1000 1127000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091366 -               2210... 80 73680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091368 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091370 -  ..
091371 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091372 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091374 -  ..
091375 - Blood pressure high today, heart rate ok, after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091376 - gastrointestinal drugs last night, and before hiking 15 miles today;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091377 - BP normally low after hiking 15 miles in heat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091379 -  ..
091380 - Pain medication - none today; pain level 0 most of route; pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091381 - tailor's buion left foot entire route.  Mile 3 mild burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091382 - ball of right foot periodically about 20% of hike.  Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091383 - Road going downhill pain level 2 left knee for about .1 miles;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091384 - subsided on turning corner and going uphill on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091385 - Did not recur.  Plantar plate injury right foot pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091386 - periodically for short distances about 20% of route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091388 -  ..
091389 - Double socks only and applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091390 - toes right foot.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091392 -  ..
091393 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091394 - toe and ring toe.  Same right foot.  No problems today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091396 -  ..
091397 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091398 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091399 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091401 -  ..
091402 - Plantar plate right foot injury - pain level 1 periodically for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091403 - distances about 20% of route, and without pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091405 -  ..
091406 - Callus left foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091407 - above, ref SDS 0 F67O, pain level 0 entire hike without pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091408 - medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091410 -  ..
091411 - Callus right foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091412 - above. ref SDS 0 PRUR, applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091413 - toe, long toe, middle toe and ring toe.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091415 -  ..
091416 - Blisters bottom both feet below big toe - no dressing today.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091417 - well; pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091419 -  ..
091420 - Tailor's Bunion left foot - used circular pad with hole in middle, cut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091421 - in half and then trimmed both sides, placed on either side of wound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091422 - Placed lambs wool between separated pad sections and held in place                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091423 - with white tape.  Pain level 2 for about 2 miles, then pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091424 - rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091426 -  ..
091427 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091428 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091430 -  ..
091431 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091432 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091433 - calfs pain level 0.  Left foot tailor's bunion pain level 0.  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091434 - 1.25 miles 18 minutes.  Maintained pace on Clayton hiking on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091435 - sidewalk.  Right foot plantar plate injury pain level 0.  Mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091436 - tailor's bunion left foot pain level 0.  Mile 3 mild burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091437 - right ball of foot.  Turned corner at mile 3.25.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091438 - then switched to asphault roadway.  Crossed from North to South Side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091439 - to hike against Eastbound traffic flow.  Time mile 4.25 68 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091440 - Continuing on Ygnacio Valley Road mile 4.5 calfs pain level 0.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091441 - mile 4.75 burning sensation right ball of foot pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091442 - corner and hiked 4-mile loop on Crystal Ranch Road.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091443 - right foot plantar plate injury.  Maintained good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091444 - uphill against no wind.  At the summit slowed pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091445 - Going down steep hill to Rolling Woods Way left knee pain level 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091446 - short distance.  May indicate PRP treatments on 170726, and on 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091447 - still effective preventing osteoarthritis.  Turned onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091448 - Way.  Increased pace going up steep hill for .3 miles with pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091449 - 0 - no right leg hamstring.  Going downhill slowed pace prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091450 - injuring knees and feet.  Pain level 0 right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091451 - injury.  Turned corner and hiked 1 mile on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091452 - corner onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091453 - Road.  Continued uphill to Cowell, and increased pace uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091454 - summit.  Maintained pace downhill 2 miles to Oak Grove.  Turned and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091455 - hiked 1 mile on Oak Grove to Treat.  Sprinted across intersection to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091456 - beat traffic lights.  Hiked on Treat to uphill.  Fast pace uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091457 - Cuneo.  Turned and hiked 1 mile loop to Kaski, Cowell, Treat and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091458 - to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091460 -  ..
091461 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091462 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091463 - Dinner - macaroni cheese asparagus onion mushrooms, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091465 -  ..
091466 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091470 -         ..
091471 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091472 -  129.  180509 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091473 -               0900....BP HR with Diff........................................... 122  68  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091474 -               0905....BP HR with Diff........................................... 120  71  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091475 -               0910....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091476 -               0910... 20 14300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091477 -               0910... 80 73760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091478 -               0910....1000  55000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091479 -               0910....200    4000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091480 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091481 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091482 -         * cr  1150....miles...........  11.0  36.00  168  568 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091483 -               1515....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091484 -               1520....BP HR with Diff........................................... 104  71  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091485 -               1530....BP HR with Diff........................................... 109  74  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091486 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091487 -               1720... 40 32360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091488 -             1 0000............ 10 10130  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091489 -             1 0000............ 10  9720  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091490 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091491 -               1940... 40 12500 Mylanta Tums or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091492 -               2000... 1000 1128000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091493 -               2050... 80 73840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091495 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091497 -  ..
091498 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091499 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091501 -  ..
091502 - Blood pressure very good today, heart rate ok, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091503 - reduced gastrointestinal drugs last night, and before hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091504 - today; BP normally low after hiking 11 miles in moderate heat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091506 -  ..
091507 - Pain medication - acetaminophen and ibuprofen. pain level 1 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091508 - buion left foot most of entire route.  No burning sensation ball of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091509 - right foot entire hike.  Crystal Ranch Road going uphill pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091510 - from bulge ball of right foot.  Subsided on reaching summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091512 -  ..
091513 - Double socks only and applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091514 - toes right foot.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091516 -  ..
091517 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091518 - toe and ring toe.  Same on little toe right foot; but, this caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091519 - problems (pain), so at mile 4.25 stopped at gas station and removed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091520 - shoe and sock to remove toe cap.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091522 -  ..
091523 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091524 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091525 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091527 -  ..
091528 - Plantar plate right foot injury - pain level 2 once for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091529 - distance going uphill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091531 -  ..
091532 - Callus left foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091533 - above, ref SDS 0 F67O, pain level 0 entire hike without pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091534 - medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091536 -  ..
091537 - Callus right foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091538 - above. ref SDS 0 PRUR, applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091539 - toe, long toe, middle toe and ring toe.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091541 -  ..
091542 - Blisters bottom both feet below big toe - no dressing today.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091543 - well; pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091545 -  ..
091546 - Tailor's Bunion left foot - used circular pad with hole in middle, cut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091547 - in half and then trimmed both sides, placed on either side of wound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091548 - Placed protective gel between separated pad sections and held in place                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091549 - with white tape.  Pain level 1 - 2 entire route.  Tomorrow will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091550 - revise scheme.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091552 -  ..
091553 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091554 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091556 -  ..
091557 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091558 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091559 - good, calfs pain level 0.  Left foot tailor's bunion pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091560 - about 75% of route.  Time to 1.25 miles 17 minutes.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091561 - on Clayton hiking on concrete sidewalk.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091562 - injury pain level 0.  Mile 2 no burning sensation right ball of foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091563 - Turned corner at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091564 - asphault roadway.  Crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091565 - Eastbound traffic flow.  Time mile 4.25 67 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091566 - Ygnacio Valley Road mile 4.5 calfs pain level 0.  At mile 4.75 still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091567 - no burning sensation right ball of foot pain level 0, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091568 - and hiked 4-mile loop on Crystal Ranch Road.  Maintained fast pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091569 - going 1 mile uphill against wind.  About half way up, felt bulge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091570 - across ball of right foot and plantar plate injury pain level 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091571 - though possibly metatarsalgia recurrance.  Maintained pace.  At the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091572 - summit slowed pace on flat ground.  Going down steep hill to Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091573 - Woods Way pain level 0 both knees.  May indicate PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091574 - 170726, and on 180105, still effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091575 - Turned onto Rolling Woods Way.  Increased pace going up steep hill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091576 - .3 miles with pain level 0 - no right leg hamstring.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091577 - slowed pace prevent injuring knees and feet.  Pain level 0 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091578 - plantar plate injury.  Turned corner and hiked 1 mile on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091579 - Turned corner onto Ygnacio Valley Road.  Hiked 1 mile against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091580 - back to Crystal Ranch Road.  Continued uphill to Cowell.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091581 - fatigued, so turned corner and hiked downhill.  On flatter ground                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091582 - jogged about .25 miles.  Sprinted last 100+ yards to beat traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091583 - light crossing Treat.  The light turned yellow entering the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091584 - intersection, but continued past a police office on a motorcycle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091585 - waiting to make left turn onto Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091587 -  ..
091588 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091589 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091590 - Dinner - macaroni cheese asparagus onion mushrooms tomato, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091591 - milk, cashews beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091593 -  ..
091594 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091599 -         ..
091600 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091601 -  130.  180510 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091602 -               0900....BP HR with Diff........................................... 116  70  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091603 -               0905....BP HR with Diff........................................... 120  70  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091604 -               0920....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091605 -               0920... 20 14320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091606 -               0920... 80 73920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091607 -               0000....1000  55000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091608 -               0000....200    4000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091609 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091610 -               0920... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091611 -         * cr  1125....miles...........  15.0  51.00  248  816 minutes temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091612 -               1600....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091613 -               1610....BP HR with Diff........................................... 103  76  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091614 -               1620....BP HR with Diff........................................... 112  70  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091615 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091616 -               1810... 40 32400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091617 -               2030............ 10 10140  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091618 -               2030............ 10  9730  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091619 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091620 -               2130... 40 12540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091621 -               2150... 1000 1129000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091622 -               2240... 80 74000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091624 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091626 -  ..
091627 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091628 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091630 -  ..
091631 - Blood pressure very good today, heart rate ok, after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091632 - gastrointestinal drugs last night, and before hiking 15 miles today;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091633 - BP usually lower after hiking 15 miles in moderate heat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091635 -  ..
091636 - Pain medication - hydrocodone (Norco - acetamenopfen) pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091637 - tailor's buion left foot 30% of route.  Burning sensation ball of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091638 - right foot short distance going up Crystal Ranch Road.  Plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091639 - injury right foot pain level 0 entire hike.  Left knee pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091640 - short distance going downhill Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091642 -  ..
091643 - Double socks only and applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091644 - toes right foot.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091646 -  ..
091647 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091648 - toe and ring toe.  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091650 -  ..
091651 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091652 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091653 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091655 -  ..
091656 - Plantar plate right foot injury - pain level 2 once for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091657 - distance going uphill on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091659 -  ..
091660 - Callus left foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091661 - above, ref SDS 0 F67O, pain level 0 to mile 13.  Pain level 1 last 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091662 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091664 -  ..
091665 - Callus right foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091666 - above. ref SDS 0 PRUR, applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091667 - toe, long toe, middle toe and ring toe.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091669 -  ..
091670 - Blisters bottom both feet below big toe - no dressing today.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091671 - well; pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091673 -  ..
091674 - Tailor's Bunion left foot - used large pad protective gel held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091675 - place with white tape.  Pain level 1 60% of route.  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091677 -  ..
091678 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091679 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091681 -  ..
091682 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091683 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091684 - calfs pain level 0.  Left foot tailor's bunion pain level 1 about 60%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091685 - of route.  Time to 1.25 miles 18 minutes.  Maintained slow pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091686 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091687 - pain level 0.  Mile 2 no burning sensation right ball of foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091688 - corner at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091689 - roadway.  Crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091690 - traffic flow.  Time mile 4.25 71 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091691 - Valley Road mile 4.5 calfs pain level 0.  At mile 4.75 still no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091692 - burning sensation ball of right foot pain level 0, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091693 - and hiked 4-mile loop on Crystal Ranch Road.  Maintained fast pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091694 - going 1 mile uphill against minor wind.  About half way up, felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091695 - burning sensation right foot.  Maintained pace and burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091696 - subsided.  At the summit slowed pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091697 - hill to Rolling Woods Way pain level 0 right knee.  Pain level 2 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091698 - knee short distance.  May indicate PRP treatments on 170726, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091699 - 180105, still effective preventing osteoarthritis.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091700 - Rolling Woods Way.  Increased pace going up steep hill for .3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091701 - with pain level 0 - no right leg hamstring.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091702 - pace prevent injuring knees and feet.  Pain level 0 right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091703 - plate injury.  Turned corner and hiked 1 mile on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091704 - corner onto Ygnacio Valley Road.  Hiked 1 mile against mild wind back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091705 - to Crystal Ranch Road.  Continued uphill to Cowell.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091706 - against strong wind to summit Ygnacio Valley Road.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091707 - slower pace downhill pain level 0.  Turned corner onto Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091708 - Hiked 1 mile and turned corner onto Treat.  Maintained pace .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091709 - and then increased pace .5 miles uphill.  At summit maintained fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091710 - pace for 1.5 miles to home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091712 -  ..
091713 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091714 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091715 - Dinner - hot dog cottage cheese tomato avocado onion, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091717 -  ..
091718 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091723 -         ..
091724 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091725 -  131.  180511 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091726 -               0730....BP HR with Diff........................................... 117  71  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091727 -               0735....BP HR with Diff........................................... 119  68  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091728 -               0740....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091729 -               0740... 20 14320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091730 -               0740... 80 74080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091731 -               0740....1000  56000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091732 -               0740....200    4200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091733 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091734 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091735 -         * cr  0855....miles...........  11.0  62.00  176  992 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091736 -               1230....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091737 -               1235....BP HR with Diff........................................... 113  76  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091738 -               1620....BP HR with Diff........................................... 111  74  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091739 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091740 -               1810... 40 32440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091741 -             1 0000............ 10 10140  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091742 -             1 0000............ 10  9730  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091743 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091744 -               1940... 40 12580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091745 -               2010... 1000 1130000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091746 -               2120... 80 74160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091748 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091750 -  ..
091751 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091752 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091754 -  ..
091755 - Blood pressure very good today, heart rate ok, after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091756 - gastrointestinal drugs last night, and before hiking 11 miles today;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091757 - BP usually lower after hiking 11 miles in moderate heat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091759 -  ..
091760 - Pain medication - acetamenopfen and ibuprofen - pain level 1 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091761 - buion left foot 10% of route.  Burning sensation ball of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091762 - short distance going up Crystal Ranch Road.  Plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091763 - right foot pain level 0 entire hike.  Left knee pain level 1 short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091764 - distance going downhill Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091766 -  ..
091767 - Double socks only and applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091768 - toes right foot.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091770 -  ..
091771 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091772 - toe and ring toe.  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091774 -  ..
091775 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091776 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091777 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091779 -  ..
091780 - Plantar plate right foot injury - pain level 0  entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091782 -  ..
091783 - Callus left foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091784 - above, ref SDS 0 F67O, applied protective gel pad wrapped with white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091785 - tape. Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091787 -  ..
091788 - Callus right foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091789 - above. ref SDS 0 PRUR, applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091790 - toe, long toe, middle toe and ring toe.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091792 -  ..
091793 - Blisters bottom both feet below big toe - no dressing today.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091794 - well; pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091796 -  ..
091797 - Tailor's Bunion left foot - used large pad protective gel held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091798 - place with white tape.  Pain level 1 10% of route.  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091800 -  ..
091801 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091802 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091804 -  ..
091805 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091806 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy low,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091807 - calfs pain level 0.  Left foot tailor's bunion pain level 1 about 10%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091808 - of route.  Time to 1.25 miles 20 minutes.  Maintained slow pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091809 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091810 - pain level 0.  Mile 2 no burning sensation right ball of foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091811 - corner at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091812 - roadway.  Crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091813 - traffic flow.  Time mile 4.25 71 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091814 - Valley Road mile 4.5 calfs pain level 0.  At mile 4.75 still no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091815 - burning sensation ball of right foot pain level 0, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091816 - and hiked 4-mile loop on Crystal Ranch Road.  Maintained slower pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091817 - going 1 mile uphill against no wind.  About half way up, felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091818 - burning sensation right foot.  Maintained moderate pace.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091819 - continued slow pace on flat ground.  Going down steep hill to Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091820 - Woods Way pain level 0 right knee.  Pain level 1 left knee short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091821 - distance.  May indicate PRP treatments on 170726, and on 180105, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091822 - effective preventing osteoarthritis.  Turned onto Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091823 - Increased pace going up steep hill for .3 miles with pain level 0 - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091824 - right leg hamstring.  Going downhill slowed pace prevent injuring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091825 - knees and feet.  Pain level 0 right foot plantar plate injury.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091826 - corner and hiked 1 mile on Pine Hollow.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091827 - Valley Road.  Hiked 1 mile back to Crystal Ranch Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091828 - uphill to Cowell.  Felt good, but turned corner and hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091829 - Treat, and back home for 11 mile hike, planning 2nd hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091831 -  ..
091832 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091833 - Lunch - sandwich bologna cheese onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091834 - Dinner - brocolli salmon noodles celery onion avocado beets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091836 -  ..
091837 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091841 -         ..
091842 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091843 -  132.  180512 0610..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091844 -               0635....BP HR with Diff........................................... 116  68  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091845 -               0640....BP HR with Diff........................................... 122  69  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091846 -               0650....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091847 -               0650... 20 14340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091848 -               0650... 80 74240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091849 -               0650....1000  57000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091850 -               0650....200    4400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091851 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091852 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091853 -         * cr  0850....miles...........  15.0  77.00  239 1231 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091854 -               1320....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091855 -               1330....BP HR with Diff........................................... 116  82  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091856 -               1340....BP HR with Diff........................................... 111  74  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091857 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091858 -               1600... 40 32480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091859 -               1920............ 10 10150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091860 -               1920............ 10  9740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091861 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091862 -               2030... 40 12620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091863 -               2050... 1000 1131000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091864 -               2220... 80 74320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091866 - * cr - Crystal Ranch Road 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091868 -  ..
091869 - Weight 174 first time in 7 months, on 171027. 160101 0700, ref SDS 37                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091870 - QS3H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091872 -  ..
091873 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091874 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091876 -  ..
091877 - Blood pressure very good today, heart rate good after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091878 - gastrointestinal drugs last night, and before hiking 15 miles today;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091879 - BP usually lower after hiking 11 miles in heat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091881 -  ..
091882 - Pain medication - acetamenopfen and ibuprofen - pain level 1 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091883 - buion left foot 10% of route.  Burning sensation ball of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091884 - short distance going up Crystal Ranch Road.  Plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091885 - right foot pain level 0 entire hike.  Both knees pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091886 - route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091888 -  ..
091889 - Double socks only and applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091890 - toes right foot.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091892 -  ..
091893 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091894 - toe and ring toe.  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091896 -  ..
091897 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091898 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091899 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091901 -  ..
091902 - Plantar plate right foot injury - pain level 0  entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091904 -  ..
091905 - Callus left foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091906 - above, ref SDS 0 F67O, applied protective gel pad wrapped with white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091907 - tape.  Pain level 1 last 2 miles.  In evening after hike used cutical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091908 - scissors to cut callus down after soaking feet in hot water to soften                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091909 - tissue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091911 -  ..
091912 - Callus right foot big toe - after cutting callus down on 180505, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091913 - above. ref SDS 0 PRUR, applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091914 - toe, long toe, middle toe and ring toe.  Seemed effective most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091915 - route.  Pain level 1 last 2 miles.  In evening after hike used cutical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091916 - scissors to cut callus down again, after soaking feet in hot water to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091917 - soften tissue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091919 -  ..
091920 - Blisters bottom both feet below big toe - no dressing today.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091921 - well; pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091923 -  ..
091924 - Tailor's Bunion left foot - used large pad protective gel held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091925 - place with white tape.  Pain level 1 10% of route.  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091927 -  ..
091928 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091929 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091931 -  ..
091932 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091933 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091934 - calfs pain level 0.  Left foot tailor's bunion pain level 1 about 10%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091935 - of route.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091936 - hiking on concrete sidewalk.  Right foot plantar plate injury pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091937 - level 0.  Mile 2.75 burning sensation right ball of foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091938 - corner at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091939 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091940 - against Eastbound traffic flow.  On asphault roadway surface burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091941 - sensation subsided.  Time mile 4.25 69 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091942 - Valley Road mile 4.5 calfs pain level 0.  At mile 4.75 still no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091943 - burning sensation ball of right foot pain level 0, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091944 - and hiked 4-mile loop on Crystal Ranch Road.  Maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091945 - 1 mile uphill against no wind.  About half way up, felt burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091946 - sensation right foot.  Maintained moderate pace.  At summit continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091947 - slow pace on flat ground - burning sensation right foot subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091948 - Going down steep hill to Rolling Woods Way pain level 0 right knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091949 - Pain level 0 left knee entire distance.  May indicate PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091950 - on 170726, and on 180105, still effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091951 - Turned onto Rolling Woods Way.  Maintained pace going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091952 - for .3 miles with pain level 0 - no right leg hamstring, no burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091953 - sensation right foot, both knees pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091954 - pace prevent injuring knees and feet.  Pain level 0 right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091955 - plate injury.  Turned corner and hiked 1 mile on Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091956 - corner onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091957 - Road.  Continued uphill to Cowell.  Felt good, so continued uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091958 - increased pace to summit Ygnacio Valley Road.  Maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091959 - going downhill 2 miles to Oak Grove.  Both knees pain level 0, plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091960 - plate right foot pain level 0, and no burning snesation.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091961 - corner and hiked 1 mile to Treat.  Sprinted across intersection to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091962 - beat yellow traffic light.  Hiked 1 mile normal pace; increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091963 - pace going .5 miles uphill and maintained pace rest of 1.5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091964 - Felt better hiking last mile than starting the hike 4 hours earlier.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091965 - Very good hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091967 -  ..
091968 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091969 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091970 - Dinner - eggs asparagus onion tomato avocado, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091972 -  ..
091973 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091977 -         ..
091978 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091979 -  133.  180513 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091980 -               0825....BP HR with Diff........................................... 137  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091981 -               0830....BP HR with Diff........................................... 129  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091982 -               0840....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091983 -               0840... 20 14360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091984 -               0840... 80 74400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091985 -               0000....1000  57000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091986 -               0000....200    4400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091987 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091988 -               0840... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091989 -         ** cr 1000....miles...........  17.0  94.00  270 1501 minutes temp  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091990 -               1510....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091991 -               1520....BP HR with Diff........................................... 118  74  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091992 -               1525....BP HR with Diff........................................... 121  77  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091993 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091994 -               1700... 40 32520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091995 -             1 0000............ 10 10150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091996 -             1 0000............ 10  9740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091997 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091998 -               1930... 40 12660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091999 -               1950... 1000 1132000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092000 -               2030... 80 74480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092002 - ** cr - hiked Crystal Ranch Road 4 mile loop twice today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092004 -  ..
092005 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092006 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092008 -  ..
092009 - Blood pressure okay today, heart rate good after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092010 - gastrointestinal drugs last night, and before hiking 17 miles today;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092011 - BP usually lower after hiking 17 miles even in cool temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092013 -  ..
092014 - Pain medication - hydrocodone - pain level 0 tailor's buion left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092015 - 100% of route.  Burning sensation ball of right foot short distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092016 - going up Crystal Ranch Road.  Plantar plate injury right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092017 - level 0 entire hike.  Both knees pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092019 -  ..
092020 - Double socks only and applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092021 - toes right foot.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092023 -  ..
092024 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092025 - toe and ring toe.  Worked well.  Right foot little toe.  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092027 -  ..
092028 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092029 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092030 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092032 -  ..
092033 - Plantar plate right foot injury - pain level 0  entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092035 -  ..
092036 - Callus left foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092037 - above, ref SDS 0 QPVY, applied protective gel pad wrapped with white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092038 - tape.  Seemed effective most of route.  Pain level 1 last mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092040 -  ..
092041 - Callus right foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092042 - above, ref SDS 0 QPWT, applied protective gel with white tape, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092043 - applied felt/wool cloth strip woven between big toe, long toe, middle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092044 - toe and ring toe.  Seemed effective most of route.  Pain level 1 last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092045 - 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092047 -  ..
092048 - Blisters bottom both feet below big toe - no dressing today.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092049 - well; pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092051 -  ..
092052 - Tailor's Bunion left foot - used large pad protective gel held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092053 - place with white tape.  Pain level 0 entire route.  Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092055 -  ..
092056 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092057 - above. ref SDS 37 SA6F  Did not notice adverse effects during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092059 -  ..
092060 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092061 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092062 - calfs pain level 0.  Left foot tailor's bunion pain level 1 about 10%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092063 - of route.  Time to 1.25 miles 17 minutes.  Maintained fast pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092064 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092065 - pain level 0.  Mile 2.75 burning sensation right ball of foot.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092066 - corner at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092067 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092068 - against Eastbound traffic flow.  On asphault roadway surface burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092069 - sensation subsided across ball of right foot.  Time mile 4.25 65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092070 - minutes.  Continuing on Ygnacio Valley Road mile 4.5 calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092071 - 0.  At mile 4.75 still no burning sensation ball of right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092072 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092073 - Maintained fast pace going 1 mile uphill against wind.  About half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092074 - way up, felt burning sensation right foot.  Maintained fast pace.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092075 - summit continued fast pace on flat ground - burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092076 - foot subsided.  Going down steep hill to Rolling Woods Way pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092077 - 0 right knee.  Pain level 0 left knee entire distance.  May indicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092078 - PRP treatments on 170726, and on 180105, still effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092079 - osteoarthritis.  Turned onto Rolling Woods Way.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092080 - up steep hill for .3 miles with pain level 0 - no right leg hamstring,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092081 - no burning sensation right foot, both knees pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092082 - downhill maintained pace and suffered no injuries to knees and feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092083 - Pain level 0 right foot plantar plate injury.  Turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092084 - 1 mile on Pine Hollow.  Turned corner onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092085 - 1 mile back to Crystal Ranch Road.  Felt good so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092086 - hiked Cyrstal Ranch Road 4-mile loop again, similar to 1st time.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092087 - returning to Ygnacio Valley Road at Crystal Ranch Road, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092088 - uphill to Cowell.  Felt good, increased pace uphill to summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092089 - Valley Road.  Maintained good pace going downhill 2 miles to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092090 - Grove.  Both knees pain level 0, plantar plate right foot pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092091 - 0, and no burning snesation.   Called Kathy to pick me up at Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092092 - and Treat.   Hiked 1 mile to Treat.  Kathy drove us home.  Very good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092093 - hike.  This was first time hiking Crystal Ranch Road loop twice in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092094 - over a year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092096 -  ..
092097 - Breakfast - cherrios strawberries chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092098 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092099 - Dinner - potato salad pork chop squash avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092101 -  ..
092102 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092106 -         ..
092107 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092108 -  134.  180514 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092109 -               0810....BP HR with Diff........................................... 123  70  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092110 -               0815....BP HR with Diff........................................... 114  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092111 -               0820....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092112 -               0820... 20 14380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092113 -               0820... 80 74560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092114 -               0000....1000  57000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092115 -               0000....200    4400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092116 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092117 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092118 -          * cr 1055....miles...........  13.0  13.00  206  206 minutes temp  62 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092119 -               1450....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092120 -               1500....BP HR with Diff........................................... 112  80  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092121 -               1510....BP HR with Diff........................................... 117  77  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092122 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092123 -               1550... 40 32560 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092124 -               1910............ 10 10160  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092125 -               1910............ 10  9750  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092126 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092127 -               2000... 40 12700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092128 -               2030... 1000 1133000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092129 -               2140... 80 74640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092131 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092133 -  ..
092134 - Blood test today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092136 -  ..
092137 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092138 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092140 -  ..
092141 - Blood pressure very good today, heart rate okay after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092142 - gastrointestinal drugs last night, and before hiking 13 miles today;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092143 - BP usually lower after hiking 13 miles even in cool temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092145 -  ..
092146 - Pain medication - none to avoid influencing blood test today - pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092147 - level 2 - 3 tailor's buion left foot 70% of route.  Burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092148 - ball of right foot short distance going up Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092149 - Plantar plate injury right foot pain level 1 going up Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092150 - Road short distance.  Both knees pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092152 -  ..
092153 - Double socks only and applied felt/wool cloth strip woven between big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092154 - toes right foot.  Seemed effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092156 -  ..
092157 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092158 - toe and ring toe.  Worked well.  Right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092159 - Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092161 -  ..
092162 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092163 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092164 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092166 -  ..
092167 - Plantar plate right foot injury - pain level 1 for short distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092168 - going up Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092170 -  ..
092171 - Callus left foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092172 - above, ref SDS 0 QPVY, applied protective gel pad wrapped with white                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092173 - tape.  Pain level 1 last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092175 -  ..
092176 - Callus right foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092177 - above, ref SDS 0 QPWT, applied protective gel with white tape, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092178 - applied felt/wool cloth strip woven between big toe, long toe, middle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092179 - toe and ring toe.  Seemed effective most of route.  Pain level 1 last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092180 - 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092182 -  ..
092183 - Tailor's Bunion left foot - used large pad protective gel held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092184 - place with white tape.  Pain level 2 - 3 about 70% entire route.  Need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092185 - better solution.  Injury seems to be expanding.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092187 -  ..
092188 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092189 - above. ref SDS 37 SA6F  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092191 -  ..
092192 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092193 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092194 - calfs pain level 0.  Left foot tailor's bunion pain level 2 - 3 about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092195 - 70% entire route.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092196 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092197 - pain level 0.  Mile 2.75 no burning sensation right ball of foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092198 - Turned corner at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092199 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092200 - hike against Eastbound traffic flow and against wind.  Maintain slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092201 - pace to prevent rising pain level for left foot tailor's bunion.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092202 - mile 4.25 70 minutes.  Continuing on Ygnacio Valley Road mile 4.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092203 - calfs pain level 0.  At mile 4.75 still no burning sensation ball of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092204 - right foot pain level 0, so turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092205 - Crystal Ranch Road.  Maintained pace going 1 mile uphill against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092206 - wind.  About half way up, felt burning sensation right foot for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092207 - distance.  Also right foot plantar plate injury pain level 2 for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092208 - distance.  At summit continued normal pace on flat ground.  Going down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092209 - steep hill to Rolling Woods Way pain level 0 right knee.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092210 - left knee.  May indicate PRP treatments on 170726, and on 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092211 - still effective preventing osteoarthritis.  Turned onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092212 - Way.  Increased pace going up steep hill for .3 miles with pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092213 - 0 - no right leg hamstring, no burning sensation right foot, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092214 - knees pain level 0.  Going downhill slowed pace and suffered no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092215 - injuries to knees and feet.  Pain level 0 right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092216 - injury.  Left foot tailor's bunion pain level 2.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092217 - hiked 1 mile on Pine Hollow.  Turned corner onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092218 - Hiked 1 mile back to Crystal Ranch Road.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092219 - Road uphill to Cowell.  Felt good, increased pace uphill to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092220 - Maintained good pace going downhill 2 miles on Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092221 - Oak Grove.  Both knees pain level 0, plantar plate right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092222 - level 0, and no burning snesation.  Left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092223 - level 3, so called Kathy to pick me up at Oak Grove and Treat.   Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092224 - 1 mile to Treat.  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092226 -  ..
092227 - Breakfast - NPO for blood test today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092228 - Lunch - triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092229 - Dinner - potato salad brocolli sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092231 -  ..
092232 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092236 -         ..
092237 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092238 -  135.  180515 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092239 -               1020....BP HR with Diff........................................... 127  74  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092240 -               1025....BP HR with Diff........................................... 127  79  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092241 -               1030....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092242 -               1030... 20 14400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092243 -               1030... 80 74720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092244 -               1030....1000  58000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092245 -               1030....200    4600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092246 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092247 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092248 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092249 -               1630... 40 32600 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092250 -             1 0000............ 10 10160  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092251 -             1 0000............ 10  9750  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092252 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092253 -               1920... 40 12740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092254 -               1940... 1000 1134000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092255 -               2030... 80 74800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092257 -  ..
092258 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092259 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092261 -  ..
092262 - Blood pressure okay today, heart rate okay after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092263 - gastrointestinal drugs last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092265 -  ..
092266 - Pain medication - acetaminophen and ibuprofen - pain level 4 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092267 - buion left foot prevented hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092269 -  ..
092270 - Tailor's Bunion left foot - used large protective gel-like pad held in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092271 - place with white tape.  Pain level 4 starting hike, so did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092272 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092274 -  ..
092275 - Hiking - none - started hiking, but stopped within 50 yards due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092276 - injury left foot tailor's bunion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092278 -  ..
092279 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092280 - Lunch - sandwich ham cheese tomato onion - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092281 - Dinner - potato salad pork chop cut into small pieces tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092282 - squash, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092284 -  ..
092285 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092289 -         ..
092290 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092291 -  136.  180516 0230..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092292 -               0305....BP HR with Diff........................................... 131  79  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092293 -               0310....BP HR with Diff........................................... 126  75  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092294 -               0320....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092295 -               0320... 20 14420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092296 -               0320... 80 74880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092297 -               0000....1000  58000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092298 -               0000....200    4600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092299 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092300 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092301 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092302 -               1740... 40 32640 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092303 -               1950............ 10 10170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092304 -               1950............ 10  9760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092305 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092306 -               2100... 40 12780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092307 -               2130... 1000 1135000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092308 -               2220... 80 74960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092310 -  ..
092311 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092312 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092314 -  ..
092315 - Blood pressure okay today, heart rate okay after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092316 - gastrointestinal drugs last night, and skipping hiking yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092318 -  ..
092319 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092321 -  ..
092322 - Tailor's Bunion left foot - examination Doctor Thuillier in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092323 - Orthopedics at VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092325 -  ..
092326 - Hiking - none - rest and heal injury left foot tailor's bunion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092328 -  ..
092329 - Breakfast - sandwich ham cheese tomato onion - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092330 - Lunch - tomato cottage cheese hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092331 - Dinner - potato salad pork chop cut into small pieces brocolli,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092332 - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092334 -  ..
092335 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092339 -         ..
092340 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092341 -  137.  180517 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092342 -               0630....BP HR with Diff........................................... 135  77  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092343 -               0635....BP HR with Diff........................................... 133  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092344 -               0640....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092345 -               0640... 20 14440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092346 -               0640... 80 75040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092347 -               0000....1000  58000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092348 -               0000....200    4600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092349 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092350 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092351 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092352 -               1720... 40 32680 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092353 -             1 0000............ 10 10170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092354 -             1 0000............ 10  9760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092355 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092356 -               2050... 40 12820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092357 -               2120... 1000 1136000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092358 -               2230... 80 75120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092360 -  ..
092361 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092362 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092364 -  ..
092365 - Blood pressure high today, heart rate good after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092366 - gastrointestinal drugs last night, and skipping hiking past 2 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092368 -  ..
092369 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092371 -  ..
092372 - Tailor's Bunion left foot - examination Doctor Thuillier in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092373 - Orthopedics at VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092375 -  ..
092376 - Hiking - none - rest and heal injury left foot tailor's bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092377 - calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092379 -  ..
092380 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092381 - Lunch - hot dog tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092382 - Dinner - tuna asparagus celery onion avocado tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092384 -  ..
092385 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092390 -         ..
092391 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092392 -  138.  180518 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092393 -               0800....BP HR with Diff........................................... 135  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092394 -               0805....BP HR with Diff........................................... 136  86  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092395 -               0810....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092396 -               0810... 20 14440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092397 -               0810... 80 75040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092398 -               0000....1000  58000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092399 -               0000....200    4600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092400 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092401 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092402 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092403 -               1640... 40 32680 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092404 -               1920............ 10 10170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092405 -               1920............ 10  9760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092406 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092407 -               2040... 40 12820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092408 -               2120... 1000 1136000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092409 -               2150... 80 75120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092411 -  ..
092412 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092413 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092415 -  ..
092416 - Blood pressure high today, heart rate good after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092417 - gastrointestinal drugs last night, and skipping hiking 3 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092419 -  ..
092420 - Pain medication - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092422 -  ..
092423 - Tailor's Bunion left foot - examination Doctor Thuillier in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092424 - Orthopedics at VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092426 -  ..
092427 - Hiking - none - rest and heal injury left foot tailor's bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092428 - calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092430 -  ..
092431 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092432 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092433 - Dinner - salmon brocolli celery onion avocado tomato cottage cheese,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092434 - half sandwich peanut butter jam, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092436 -  ..
092437 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092440 -         ..
092441 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092442 -  139.  180519 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092443 -               0950....BP HR with Diff........................................... 152  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092444 -               0955....BP HR with Diff........................................... 139  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092445 -               1000....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092446 -               1000... 20 14460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092447 -               1000... 80 75200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092448 -               1000....1000  59000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092449 -               0000....200    4800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092450 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092451 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092452 -          * cr 1100....miles...........  15.0  28.00  238  444 minutes temp  67 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092453 -               1540....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092454 -               1600....BP HR with Diff...........................................  96  73  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092455 -               1510....BP HR with Diff...........................................  98  67  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092456 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092457 -               1640... 40 32720 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092458 -             1 0000............ 10 10170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092459 -             1 0000............ 10  9760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092460 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092461 -               2040... 40 12860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092462 -               2120... 1000 1137000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092463 -               2150... 80 75280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092465 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092467 -  ..
092468 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092469 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092471 -  ..
092472 - Blood pressure very high today, heart rate good after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092473 - gastrointestinal drugs last night, and not hiking past 4 days.  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092474 - HR correlates well after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092476 -  ..
092477 - Pain medication - acetaminophen and ibuprofen - pain level 1 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092478 - buion left foot 5% of route.  Burning sensation ball of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092479 - short distance going up Crystal Ranch Road.  Plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092480 - right foot pain level 0 going up Crystal Ranch Road short distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092481 - Both knees pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092483 -  ..
092484 - Double socks only - forgot to apply felt/wool cloth strip woven                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092485 - between big toes right foot.  Both feet felt troubled after 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092486 - to about mile 12.  Will apply to both feet for next hike tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092488 -  ..
092489 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092490 - toe and ring toe.  Worked well.  Right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092491 - Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092493 -  ..
092494 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092495 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092496 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092498 -  ..
092499 - Plantar plate right foot injury - pain level 0 entire hike; could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092500 - partially effect of pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092502 -  ..
092503 - Callus left foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092504 - above, ref SDS 0 QPVY, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092505 - days, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092506 - Pain level 0 entire hike; but will use protective gel pad tomorrow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092507 - or else do another treatment with Doctor Scholl's acid pad.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092509 -  ..
092510 - Callus right foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092511 - above, ref SDS 0 QPWT, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092512 - days, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092513 - Pain level 0 entire hike; but will use protective gel pad tomorrow, or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092514 - else do another treatment with Doctor Scholl's acid pad.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092516 -  ..
092517 - Blister left foot below big toe - felt this developing last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092518 - Fortunately, it is small and can be easily dressed for hike tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092520 -  ..
092521 - Tailor's Bunion left foot - applied Doctor School's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092522 - past 2 days, and today placed pliable rubber-like elongated pad over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092523 - the left edge of the foot after cutting out section for the swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092524 - area.  Expected this would provide bridge to relieve pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092525 - swelled area.  Taped this pad with cutout onto the left edge of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092526 - foot.  Seemed to work well during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092528 -  ..
092529 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092530 - above. ref SDS 37 SA6F  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092532 -  ..
092533 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092534 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092535 - calfs pain level 0.  Left foot tailor's bunion pain level 0 - 1 about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092536 - 10% entire route.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092537 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092538 - pain level 0.  Mile 2.75 burning sensation right ball of foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092539 - Probably should have applied felt/wool cloth strip wrapped between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092540 - toes for cushioning.  Turned corner at mile 3.25.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092541 - then switched to asphault roadway.  About mile 3.8 crossed from North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092542 - to South Side to hike against Eastbound traffic flow and against wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092543 - Maintain slow pace with rising headwind.  Burning sensation right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092544 - subsides.  Time mile 4.25 70 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092545 - Road mile 4.5 calfs pain level 0.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092546 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092547 - pace going 1 mile uphill against strong wind.  About half way up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092548 - felt burning sensation right foot for short distance.  Plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092549 - injury pain level 0.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092550 - down steep hill to Rolling Woods Way slowed pace pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092551 - knee.  Pain level 0 left knee.  May indicate PRP treatments on 170726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092552 - and on 180105, still effective preventing osteoarthritis.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092553 - Rolling Woods Way.  Increased pace going up steep hill with strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092554 - tail wind for .3 miles with pain level 0 - no right leg hamstring, no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092555 - burning sensation right foot, both knees pain level 0.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092556 - slowed pace and suffered no injuries to knees and feet.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092557 - right foot plantar plate injury.  Left foot tailor's bunion pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092558 - 0.  Turned corner and hiked 1 mile on Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092559 - Ygnacio Valley Road.  Feet feeling uncomfortable in shoes, like slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092560 - movement.  Hiked 1 mile back to Crystal Ranch Road against strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092561 - wind.  Continued on Ygnacio Valley Road uphill to Cowell.  Felt strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092562 - even against very strong headwind, so increased pace uphill to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092563 - Maintained good pace going downhill 2 miles on Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092564 - Oak Grove.  Both knees pain level 0, plantar plate right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092565 - level 0, and no burning snesation.  Left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092566 - level 0.  Hiked 1 mile on Oak Grove, but began feeling new blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092567 - somewhere on left foot.  Turned corner onto Treat and hiked for .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092568 - miles; increased pace going .5 miles uphill on Treat with good tail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092569 - wind, and maintained pace doing final 1 mile loop to end of hike at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092570 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092572 -  ..
092573 - Breakfast - none, should have eaten cherrios chia seeds milk with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092574 - acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092575 - Lunch - triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092576 - Dinner - steak cut into small pieces, asparagus tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092578 -  ..
092579 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092583 -         ..
092584 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092585 -  140.  180520 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092586 -               0850....BP HR with Diff........................................... 153  77  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092587 -               0855....BP HR with Diff........................................... 146  75  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092588 -               0900....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092589 -               0900... 20 14480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092590 -               0900... 80 75360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092591 -               0900....1000  60000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092592 -               0900....200    5000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092593 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092594 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092595 -          * cr 1050....miles...........  15.0  43.00  244  688 minutes temp  67 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092596 -               1525....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092597 -               1530....BP HR with Diff........................................... 109  76 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092598 -               1540....BP HR with Diff........................................... 108  75 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092599 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092600 -               1720... 40 32760 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092601 -               1930............ 10 10180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092602 -               1930............ 10  9770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092603 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092604 -               2030... 40 12900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092605 -               2040... 1000 1138000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092606 -               2130... 80 75440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092608 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092610 -  ..
092611 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092612 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092614 -  ..
092615 - Blood pressure very high today, heart rate good after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092616 - gastrointestinal drugs last night, and after hiking yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092617 - following not hiking prior 4 days.  BP and HR correlates well after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092618 - hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092620 -  ..
092621 - Pain medication - acetaminophen and ibuprofen - pain level 1 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092622 - buion left foot 5% of route.  Burning sensation ball of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092623 - short distance on Clayton 1st 3 miles.  Plantar plate injury right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092624 - foot pain level 0 going up Crystal Ranch Road short distance.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092625 - knees pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092627 -  ..
092628 - Double socks only - apply felt/wool cloth strip woven between big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092629 - both feet.  Worked well to reduce burning sensation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092631 -  ..
092632 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092633 - toe and ring toe.  Worked well.  Right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092634 - Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092636 -  ..
092637 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092638 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092639 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092641 -  ..
092642 - Plantar plate right foot injury - pain level 0 entire hike; could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092643 - partially effect of pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092645 -  ..
092646 - Callus left foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092647 - above, ref SDS 0 QPVY, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092648 - days, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092649 - Pain level 0 entire hike; did not use protective gel pad.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092650 - felt/wool cloth strip wrapped around toes.  Will need protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092651 - tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092653 -  ..
092654 - Callus right foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092655 - above, ref SDS 0 QPWT, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092656 - days, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092657 - Pain level 0 entire hike; did not use protective gel pad.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092658 - felt/wool cloth strip wrapped around toes.  Will need protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092659 - tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092661 -  ..
092662 - Blister left foot below big toe - felt this developing last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092663 - Applied round pad with hole in middle.  This did not work well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092664 - Blister got worse.  In late evening popped blister with pin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092665 - applied antiseptic dressing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092667 -  ..
092668 - Tailor's Bunion left foot - applied Doctor School's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092669 - past 2 days, and today placed pliable rubber-like elongated pad over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092670 - the left edge of the foot after cutting out section for the swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092671 - area.  Expected this would provide bridge to relieve pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092672 - swelled area.  Taped this pad with cutout onto the left edge of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092673 - foot.  Seemed to work well during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092675 -  ..
092676 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092677 - above. ref SDS 37 SA6F  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092679 -  ..
092680 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092681 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092682 - calfs pain level 0.  Left foot tailor's bunion pain level 0 - 1 about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092683 - 10% entire route.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092684 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092685 - pain level 0.  Mile 2.75 burning sensation right ball of foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092686 - Probably should have applied felt/wool cloth strip wrapped between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092687 - toes for cushioning.  Turned corner at mile 3.25.  Hiked to mile 3.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092688 - then switched to asphault roadway.  About mile 3.8 crossed from North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092689 - to South Side to hike against Eastbound traffic flow and against wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092690 - Maintain slow pace with rising headwind.  Burning sensation right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092691 - subsides.  Time mile 4.25 70 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092692 - Road mile 4.5 calfs pain level 0.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092693 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092694 - pace going 1 mile uphill against strong wind.  About half way up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092695 - felt burning sensation right foot for short distance.  Plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092696 - injury pain level 0.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092697 - down steep hill to Rolling Woods Way slowed pace pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092698 - knee.  Pain level 0 left knee.  May indicate PRP treatments on 170726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092699 - and on 180105, still effective preventing osteoarthritis.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092700 - Rolling Woods Way.  Increased pace going up steep hill with strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092701 - tail wind for .3 miles with pain level 0 - no right leg hamstring, no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092702 - burning sensation right foot, both knees pain level 0.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092703 - slowed pace and suffered no injuries to knees and feet.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092704 - right foot plantar plate injury.  Left foot tailor's bunion pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092705 - 0.  Turned corner and hiked 1 mile on Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092706 - Ygnacio Valley Road.  Feet feeling uncomfortable in shoes, like slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092707 - movement.  Hiked 1 mile back to Crystal Ranch Road against strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092708 - wind.  Continued on Ygnacio Valley Road uphill to Cowell.  Felt strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092709 - even against very strong headwind, so increased pace uphill to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092710 - Maintained good pace going downhill 2 miles on Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092711 - Oak Grove.  Both knees pain level 0, plantar plate right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092712 - level 0, and no burning snesation.  Left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092713 - level 0.  Hiked 1 mile on Oak Grove, but began feeling blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092714 - somewhere on left foot.  Turned corner onto Treat.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092715 - going uphill on Treat with good tail wind, and maintained pace doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092716 - final 1 mile loop to end of hike at home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092718 -  ..
092719 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092720 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092721 - Dinner - lettuce onion salmon tomato avocado tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092723 -  ..
092724 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092728 -         ..
092729 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092730 -  141.  180521 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092731 -               0855....BP HR with Diff........................................... 140  80  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092732 -               0900....BP HR with Diff........................................... 132  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092733 -               0905....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092734 -               0905... 20 14500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092735 -               0905... 80 75520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092736 -               0905....1000  61000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092737 -               0905....200    5200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092738 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092739 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092740 -          * cr 1005....miles...........  13.0  13.00  206  206 minutes temp  74 windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092741 -               1350....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092742 -               1400....BP HR with Diff........................................... 110  77 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092743 -               1405....BP HR with Diff........................................... 115  76  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092744 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092745 -               1720... 40 32800 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092746 -             1 0000............ 10 10180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092747 -             1 0000............ 10  9770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092748 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092749 -               1940... 40 12940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092750 -               2020... 1000 1139000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092751 -               2140... 80 75600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092753 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092755 -  ..
092756 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092757 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092759 -  ..
092760 - Blood pressure very high today, heart rate good after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092761 - gastrointestinal drugs last night, and after hiking yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092762 - following not hiking prior 4 days.  BP and HR correlates well after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092763 - hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092765 -  ..
092766 - Pain medication - acetaminophen and ibuprofen - pain level 1 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092767 - buion left foot 5% of route.  Burning sensation ball of right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092768 - short distance on Clayton 1st 3 miles.  Plantar plate injury right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092769 - foot pain level 0 going up Crystal Ranch Road short distance.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092770 - knees pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092772 -  ..
092773 - Double socks only - apply felt/wool cloth strip woven between toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092774 - both feet.  Worked well to reduce burning sensation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092776 -  ..
092777 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092778 - toe and ring toe.  Worked well.  Right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092779 - Worked well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092781 -  ..
092782 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092783 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092784 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092786 -  ..
092787 - Plantar plate right foot injury - pain level 0 entire hike; could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092788 - partially effect of pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092790 -  ..
092791 - Metatarsalgia right foot - flare up about mile 5 and half way hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092792 - 1 mile uphill on Crystal Ranch Road.  Breakthrough pain level 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092793 - Ended on reaching summit, and did not recur rest of 8 miles to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092794 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092796 -  ..
092797 - Callus left foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092798 - above, ref SDS 0 QPVY, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092799 - days, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092800 - Pain level 0 entire hike; did not use protective gel pad.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092801 - felt/wool cloth strip wrapped around toes.  Will need protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092802 - tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092804 -  ..
092805 - Callus right foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092806 - above, ref SDS 0 QPWT, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092807 - days, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092808 - Pain level 0 entire hike; did not use protective gel pad.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092809 - felt/wool cloth strip wrapped around toes.  Will need protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092810 - tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092812 -  ..
092813 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092814 - ref SDS 0 Y65F  Dressing yesterday did not work well.  Today placed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092815 - pliable rubber-like elongated pad over elongated blistered area after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092816 - cutting out section for the swelled area.  Expected this would provide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092817 - bridge to relieve pressure on swelled area.  Taped this pad with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092818 - cutout onto the right edge of the left foot.  Seemed to work well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092819 - during hike, but after hike there was still swelling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092821 -  ..
092822 - Left hip - pain level 2 for short distance hiking uphill from Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092823 - on Ygancio Valley Road to summit.  May be due to severe slope of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092824 - roadway along this .25 mile stretch.  Over the summit and going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092825 - downhill left hip pain level 0, and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092827 -  ..
092828 - Tailor's Bunion left foot - applied Doctor Scholl's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092829 - past 2 days, and today placed pliable rubber-like elongated pad over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092830 - the left edge of the foot after cutting out section for the swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092831 - area.  Expected this would provide bridge to relieve pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092832 - swelled area.  Taped this pad with cutout onto the left edge of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092833 - foot.  Seemed to work well during hike.  Called Doctor Tucker's office                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092834 - and ordered another treatment for feet and knees; a primary objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092835 - is recovery for left foot Tailor's Bunion, similar to strong recovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092836 - on the right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092838 -  ..
092839 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092840 - above. ref SDS 37 SA6F  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092842 -  ..
092843 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092844 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092845 - calfs pain level 0.  Left foot tailor's bunion pain level 0 - 1 about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092846 - 10% entire route.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092847 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092848 - pain level 0.  Called Doctor Turner's office and ordered another PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092849 - treatment on 180620 1530.  Mile 2.75 no burning sensation right ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092850 - of foot, possibly because today went back to using felt/wool cloth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092851 - strip wrapped between toes for cushioning.  Turned corner at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092852 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092853 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092854 - traffic flow.  Wind much less today.  Maintain pace but burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092855 - sensation right foot suddenly occurs with moderate severity.  Slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092856 - pace, time mile 4.25 70 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092857 - mile 4.5 calfs pain level 0.  At mile 4.75 pain level 0 and burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092858 - sensation subsided, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092859 - Ranch Road.  Maintained pace going 1 mile uphill.  About half way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092860 - up, felt burning sensation right foot and seemed to feel pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092861 - metatarsalgia right foot rest of way to summit.  Plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092862 - pain level 0.  At summit maintained pace on flat ground.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092863 - metatarsalgia pain level 0.  Going down steep hill to Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092864 - Way slowed pace pain level 0 right knee.  Pain level 0 left knee.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092865 - indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092866 - preventing osteoarthritis.  Turned onto Rolling Woods Way.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092867 - pace going up steep hill for .3 miles with pain level 0 - no right leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092868 - hamstring, no burning sensation right foot, metatarsalgia right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092869 - pain level 0, both knees pain level 0.  Going downhill slowed pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092870 - suffered no injuries to knees and feet.  Pain level 0 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092871 - plantar plate injury.  Left foot tailor's bunion pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092872 - corner and hiked 1 mile on Pine Hollow.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092873 - Valley Road.  Hiked 1 mile back to Crystal Ranch Road against rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092874 - wind.  Continued on Ygnacio Valley Road uphill to Cowell with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092875 - continuing to increase.  Felt strong even against very strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092876 - headwind, so increased pace uphill to summit.  Left hip pain level 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092877 - might be related to severe slope of roadway along this stretch of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092878 - route; however, this has been hiked a thousand times without noticing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092879 - adverse impact on left hip.  Maintained good pace going downhill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092880 - left hip pain level 0.  Jogged 1.5 miles on Ygnacio Valley Road slight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092881 - downhill grade.  Continued hikng .5 miles to Oak Grove.  Worried now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092882 - about blister on inside edge left foot.  Called Kathy to meet at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092883 - corner of Treat.  Hiked 1 mile to Treat, and Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092885 -  ..
092886 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092887 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092888 - Dinner - lettuce onion tuna tomato avocado tomato, chips cherries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092890 -  ..
092891 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092895 -         ..
092896 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092897 -  142.  180522 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092898 -               0920....BP HR with Diff........................................... 133  73  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092899 -               0925....BP HR with Diff........................................... 124  72  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092900 -               0930....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092901 -               0930... 20 14520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092902 -               0930... 80 75680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092903 -               0930....1000  62000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092904 -               0930....200    5400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092905 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092906 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092907 -          * cr 1305....miles...........  15.0  28.00  246  452 minutes temp  67 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092908 -               1730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092909 -               1750....BP HR with Diff........................................... 122  81  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092910 -               1820....BP HR with Diff........................................... 124  81  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092911 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092912 -               1840... 40 32840 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092913 -               2100............ 10 10190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092914 -               2100............ 10  9780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092915 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092916 -               1940... 40 12980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092917 -               2020... 1000 1140000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092918 -               2140... 80 75760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092920 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092922 -  ..
092923 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092924 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092926 -  ..
092927 - Blood pressure significant drop, good today, heart rate higher than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092928 - expected after taking reduced gastrointestinal drugs last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092929 - after hiking past few days, following not hiking prior 4 days.  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092930 - HR seem high after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092932 -  ..
092933 - Pain medication - acetaminophen and ibuprofen - pain level 7 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092934 - bunion left foot .5 mile, then pain level 1 - 2 20% remaining route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092935 - Burning sensation ball of right foot short distance on Clayton 1st 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092936 - miles.  Recurred Crystal Ranch Road about 3% going uphill.  Plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092937 - plate injury right foot pain level 0 going up Crystal Ranch Road short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092938 - distance.  Left knee pain level 2 going downhill Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092939 - about 300 yards - 20% this part of route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092941 -  ..
092942 - Double socks only - apply felt/wool cloth strip woven between toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092943 - both feet.  Worked well to reduce burning sensation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092945 -  ..
092946 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092947 - toe and ring toe.  Worked well.  Right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092948 - There was sharp pain at times going downhill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092950 -  ..
092951 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092952 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092953 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092955 -  ..
092956 - Plantar plate right foot injury - pain level 0 entire hike; could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092957 - partially effect of pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092959 -  ..
092960 - Metatarsalgia right foot - did not recur today, after flare up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092961 - 180521, per above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092963 -  ..
092964 - Callus left foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092965 - above, ref SDS 0 QPVY, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092966 - days, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092967 - Pain level 0 entire hike; Relied on felt/wool cloth strip wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092968 - around toes.  Worked well today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092970 -  ..
092971 - Callus right foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092972 - above, ref SDS 0 QPWT, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092973 - days.  Applied protective gel pad wrapped with white tape today.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092974 - level 0 entire hike.  Applied felt/wool cloth strip wrapped around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092975 - toes.  Worked well today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092977 -  ..
092978 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092979 - ref SDS 0 Y65F  Dressing yesterday did not work well.  Today placed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092980 - pliable rubber-like elongated pad over elongated blistered area after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092981 - cutting out section for the swelled area.  Expected this would provide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092982 - bridge to relieve pressure on swelled area.  Taped this pad with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092983 - cutout onto the right edge of the left foot.  Seemed to work well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092984 - during hike, but after hike there was still swelling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092986 -  ..
092987 - Left hip - pain level 0 entire route today, did not recur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092988 - yesterday on 180521, per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092990 -  ..
092991 - Tailor's Bunion left foot - applied Doctor Scholl's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092992 - past 2 days, and today placed pliable rubber-like elongated pad over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092993 - the left edge of the foot after cutting out section for the swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092994 - area.  Expected this would provide bridge to relieve pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092995 - swelled area.  Taped this pad with cutout onto the left edge of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092996 - foot.  Seemed to work well during hike.  After hike severe pain just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092997 - walking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092999 -  ..
093000 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093001 - above. ref SDS 37 SA6F  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093003 -  ..
093004 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093005 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093006 - calfs pain level 0.  Left foot tailor's bunion pain level 0 - 1 about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093007 - 10% entire route.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093008 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093009 - pain level 0.  Mile 2.75 no burning sensation right ball of foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093010 - possibly because today went back to using felt/wool cloth strip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093011 - wrapped between toes for cushioning.  Turned corner at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093012 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093013 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093014 - flow.  Wind much less today.  Maintain pace but burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093015 - right foot suddenly occurs with moderate severity.  Slowed pace, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093016 - mile 4.25 70 minutes.  Continuing on Ygnacio Valley Road mile 4.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093017 - calfs pain level 0.  At mile 4.75 pain level 0 and burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093018 - subsided, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093019 - Road.  Maintained pace going 1 mile uphill.  About half way up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093020 - felt burning sensation right foot and seemed to feel pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093021 - metatarsalgia right foot rest of way to summit.  Plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093022 - pain level 0.  At summit maintained pace on flat ground.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093023 - metatarsalgia pain level 0.  Going down steep hill to Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093024 - Way slowed pace pain level 0 right knee.  Pain level 0 left knee.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093025 - indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093026 - preventing osteoarthritis.  Turned onto Rolling Woods Way.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093027 - pace going up steep hill for .3 miles with pain level 0 - no right leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093028 - hamstring, no burning sensation right foot, metatarsalgia right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093029 - pain level 0, both knees pain level 0.  Going downhill slowed pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093030 - suffered no injuries to knees and feet.  Pain level 0 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093031 - plantar plate injury.  Left foot tailor's bunion pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093032 - corner and hiked 1 mile on Pine Hollow.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093033 - Valley Road.  Hiked 1 mile back to Crystal Ranch Road against rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093034 - wind.  Continued on Ygnacio Valley Road uphill to Cowell with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093035 - continuing to increase.  Felt strong even against possibly strongest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093036 - ever headwind during a hike.  The wind blew me from side to side.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093037 - to remove hat because the wind pushed the bill into my eyes, so could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093038 - not see wearing it.  Lost speed hiking uphill to summit.  It was a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093039 - challenge, though must have looked strange to motorists seeing anyone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093040 - on foot in these conditions.  Left hip pain yesterday, did not recur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093041 - today, along this stretch, where the roadway has severe slope.  Lucky                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093042 - high winds did not blow me into oncoming traffic just 3' away going 70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093043 - miles per hour.  Even vehicles were blown sideways swerving with the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093044 - wind.  Maintained good pace going downhill, still against strong wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093045 - At the bottom of the hill, the road curved North, and this reduced the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093046 - wind to more manageable level.  Turned onto Oak Grove and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093047 - to Treat.  Hiked .5 miles with the wind on flat ground.  The wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093048 - helped hike .5 miles uphill, and then another mile around the loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093049 - Cuneo, Kaski, Cowell and back to Treat, then Cuneo again and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093050 - Feet hurt pain level 3 last mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093052 -  ..
093053 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093054 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093055 - Dinner - lettuce onion tuna tomato avocado tomato, cherries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093057 -  ..
093058 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093062 -         ..
093063 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093064 -  143.  180523 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093065 -               1020....BP HR with Diff........................................... 138  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093066 -               1025....BP HR with Diff........................................... 133  78  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093067 -               1030....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093068 -               1030... 20 14540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093069 -               1030... 80 75840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093070 -               1030....1000  63000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093071 -               1030....200    5600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093072 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093073 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093074 -          * cr 1255....miles...........  15.0  43.00  239  691 minutes temp  62 very windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093075 -               1730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093076 -               1740....BP HR with Diff........................................... 110  82 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093077 -               1745....BP HR with Diff........................................... 107  77  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093078 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093079 -               1820... 40 32880 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093080 -             1 0000............ 10 10190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093081 -             1 0000............ 10  9780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093082 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093083 -               2030... 40 13020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093084 -               2050... 1000 1141000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093085 -               2220... 80 75920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093087 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093089 -  ..
093090 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093091 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093093 -  ..
093094 - Blood pressure high today, heart rate higher than expected after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093095 - taking reduced gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093096 - past few days.  BP and HR okay after hiking 15 miles and cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093097 - temperature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093099 -  ..
093100 - Weight - only 2nd time in over a year have been 178 before hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093101 - previously 3 weeks ago on 180509. ref SDS 0 527M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093103 -  ..
093104 - Pain medication - acetaminophen and ibuprofen - pain level 1 - 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093105 - tailor's bunion only 10% entire route, pain level 0 90% of route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093106 - Very significant improvement and no explanation.  Burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093107 - ball of right foot short distance only 5% of route cannot remember                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093108 - where this occurred.  Left and right knee pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093109 - Amazing improvement today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093111 -  ..
093112 - Double socks only - apply felt/wool cloth strip woven between toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093113 - both feet.  Worked well to reduce burning sensation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093115 -  ..
093116 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093117 - toe and ring toe.  Worked well.  Right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093118 - Worked well entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093120 -  ..
093121 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093122 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093123 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093125 -  ..
093126 - Plantar plate right foot injury - pain level 0 entire hike; could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093127 - partially effect of pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093129 -  ..
093130 - Metatarsalgia right foot - did not recur today, after flare up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093131 - 180521, per above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093133 -  ..
093134 - Callus left foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093135 - above, ref SDS 0 QPVY, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093136 - days, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093137 - Pain level 0 entire hike; Relied on felt/wool cloth strip wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093138 - around toes.  Worked well today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093140 -  ..
093141 - Callus right foot big toe - after cutting callus down on 180512, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093142 - above, ref SDS 0 QPWT, and apply Doctor Scholl's acid treatment past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093143 - days.  Applied protective gel pad wrapped with white tape today.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093144 - level 0 entire hike.  Applied felt/wool cloth strip wrapped around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093145 - toes.  Worked well today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093147 -  ..
093148 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093149 - ref SDS 0 Y65F  Dressing yesterday did not work well.  Today placed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093150 - pliable rubber-like elongated pad over elongated blistered area after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093151 - cutting out section for the swelled area.  Expected this would provide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093152 - bridge to relieve pressure on swelled area.  Taped this pad with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093153 - cutout onto the right edge of the left foot.  Worked well today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093155 -  ..
093156 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093157 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093159 -  ..
093160 - Tailor's Bunion left foot - applied Doctor Scholl's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093161 - past 2 days, and today placed "Hypoallergenic Bunion Gel Cushion"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093162 - purchased from CVS which is pliable rubber-like elongated pad, over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093163 - the left edge of the foot, and after cutting out section for the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093164 - swelled bunion area.  Expected this would provide bridge to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093165 - pressure on swelled area.  Taped this pad with cutout onto the left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093166 - edge of the foot.  Seemed to work well during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093168 -  ..
093169 - Tailor's Bunion right foot did not use dressing applied on 180318, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093170 - above. ref SDS 37 SA6F  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093172 -  ..
093173 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093174 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Modified route, hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093175 - initially West on Treat in reverse direction, and in order to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093176 - East in the direction of strong wind on Ygnacio Valley Road.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093177 - on Treat energy okay, right calf pain level 2; left calf pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093178 - Good pace going downhill on Treat using concrete sidewalk and against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093179 - strong wind.  Left foot tailor's bunion pain level 0 - 1 about 10%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093180 - entire route.  Both feet pain level 0.  Right and left knees pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093181 - level 0.  Turned corner and maintained pace going slightly downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093182 - Oak Grove using concrete sidewalk 50% of distance and the rest on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093183 - asphault roadway shoulder.  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093184 - 0.  Only minor burning sensation right ball of foot, possibly because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093185 - using felt/wool cloth strip wrapped between toes of both feet for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093186 - cushioning.  Turned corner at mile 2.5 going East on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093187 - Road.  About mile 3 crossed from North to South side of Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093188 - Road.  Cellphone fell out of pocket in middle of Eastbound roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093189 - Did not notice this until reaching other side.  Turned to go back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093190 - looking for cellphone.  By this time the traffic light changed at Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093191 - Grove about .25 miles back.  Saw cellphone in middle of right lane,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093192 - and saw oncomming traffic.  Put my hand up to alert traffic to slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093193 - down.  Rushed to middle of road and picked up the cellphone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093194 - Fortunately, first car in line slowed enough for me to run back to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093195 - side of the road.  Waved thank you as commute traffic sped by.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093196 - 2 miles uphill on Ygnacio Valley Road to summit.  Very strong Westerly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093197 - wind aided this hike, unlike yesterday, when going West was very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093198 - difficult in the same high wind, per above. ref SDS 0 RQWY  From                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093199 - summit, hiked to mile Crystal Ranch Road at mile 5.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093200 - hiked 4 mile loop.  Maintained pace going 1 mile uphill - steeper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093201 - than on Ygnacio Valley Road.  About half way up the road bends so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093202 - encountered strong headwind.  Felt burning sensation right foot and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093203 - seemed to feel pain level 1 metatarsalgia right foot rest of way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093204 - summit.  Plantar plate injury pain level 0.  At summit maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093205 - on flat ground.  Road bends again so wind subsided.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093206 - metatarsalgia pain level 0.  Going down steep hill to Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093207 - Way slowed pace pain level 0 right knee.  Pain level 0 left knee.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093208 - indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093209 - preventing osteoarthritis.  Turned onto Rolling Woods Way.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093210 - pace hiking with strong tail wind up steeper hill than Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093211 - Road for .3 miles.  Pain level 0 - no right leg hamstring, no burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093212 - sensation right foot, metatarsalgia right foot pain level 0, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093213 - knees pain level 0.  Going down steep hill on Rolling Woods Way slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093214 - pace and suffered no injuries to knees and feet.  Pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093215 - foot plantar plate injury.  Left foot tailor's bunion pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093216 - Turned corner and hiked 1 mile on Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093217 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093218 - strong headwind.  Then reversed direction and hiked back going East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093219 - Ygnacio Valley Road to Pine Hollow, and then onto Clayton.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093220 - corner onto Clayton and hiked 2 miles on concrete sidewalk to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093221 - Turned corner and hiked West on Treat.  Felt strong even against very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093222 - strong headwind.  Hiked uphill for .5 miles, then slight downhill back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093223 - to Cowell, and then to Cuneo.  Turned corner and hiked last mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093224 - around loop to Kaski, Cowell, Treat then Cuneo and back home.  Unlike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093225 - yesterday, feet did not hurt much today.  Very good hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093227 -  ..
093228 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093229 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093230 - Dinner - lettuce onion tuna tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093232 -  ..
093233 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093236 -         ..
093237 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093238 -  144.  180524 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093239 -               0950....BP HR with Diff........................................... 139  75  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093240 -               0955....BP HR with Diff........................................... 129  78  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093241 -               1000....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093242 -               1000... 20 14560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093243 -               1000... 80 76000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093244 -               1000....1000  64000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093245 -               1000....200    5800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093246 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093247 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093248 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093249 -               1800... 40 32920 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093250 -               2040............ 10 10200  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093251 -               2040............ 10  9790  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093252 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093253 -               2150... 40 13060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093254 -               2210... 1000 1142000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093255 -               2240... 80 76080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093257 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093259 -  ..
093260 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093261 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093263 -  ..
093264 - Blood pressure high today, heart rate higher than expected after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093265 - taking reduced gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093266 - past few days.  BP and HR okay after hiking 15 miles and cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093267 - temperature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093269 -  ..
093270 - Weight - only 2nd time in over a year have been 178 before hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093271 - previously 3 weeks ago on 180509. ref SDS 0 527M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093273 -  ..
093274 - Pain medication - acetaminophen and ibuprofen - pain level 6 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093275 - bunion prevented hiking today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093277 -  ..
093278 - Tailor's Bunion left foot - applied Doctor Scholl's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093279 - past 2 days, and today placed pliable rubber-like elongated pad over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093280 - the left edge of the foot after cutting out section for the swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093281 - area.  Expected this would provide bridge to relieve pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093282 - swelled area.  Taped this pad with cutout onto the left edge of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093283 - foot.  Pain level 6 starting hike; decided to end hike immediately.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093285 -  ..
093286 - Hiking - none, left foot tailor's bunion pain level 7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093288 -  ..
093289 - Breakfast - cherrios chia seeds milk cherries with acetaminophen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093290 - ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093291 - Lunch - sandwich ham tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093292 - Dinner - eggs tomato avocado cottage cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093294 -  ..
093295 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093299 -         ..
093300 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093301 -  145.  180525 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093302 -               0845....BP HR with Diff........................................... 132  77  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093303 -               0850....BP HR with Diff........................................... 125  74  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093304 -               0900....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093305 -               0900... 20 14580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093306 -               0900... 80 76160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093307 -               0000....1000  64000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093308 -               0000....200    5800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093309 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093310 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093311 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093312 -               1800... 40 32960 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093313 -             1 0000............ 10 10200  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093314 -             1 0000............ 10  9790  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093315 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093316 -               1920... 40 13100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093317 -               1950... 1000 1143000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093318 -               2040... 80 76240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093320 -  ..
093321 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093322 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093324 -  ..
093325 - Blood pressure high today, heart rate higher than expected after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093326 - taking reduced gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093327 - past few days.  BP and HR okay after hiking 15 miles and cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093328 - temperature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093330 -  ..
093331 - Weight - only 2nd time in over a year have been 178 before hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093332 - previously 3 weeks ago on 180509. ref SDS 0 527M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093334 -  ..
093335 - Pain medication - acetaminophen and ibuprofen - pain level 6 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093336 - bunion prevented hiking today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093338 -  ..
093339 - Tailor's Bunion left foot - applied Doctor Scholl's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093340 - past 2 days, and today placed pliable rubber-like elongated pad over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093341 - the left edge of the foot after cutting out section for the swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093342 - area.  Expected this would provide bridge to relieve pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093343 - swelled area.  Taped this pad with cutout onto the left edge of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093344 - foot.  Pain level 6 starting hike; decided to end hike immediately.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093346 -  ..
093347 - Hiking - none, left foot tailor's bunion pain level 7, treated by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093348 - Doctor Tang at VAMCSF today, reported in another record on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093349 - 1230. ref SDS 91 AZ7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093351 -  ..
093352 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093353 - Lunch - pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093354 - Dinner - rice hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093356 -  ..
093357 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093361 -         ..
093362 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093363 -  146.  180526 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093364 -               0900....BP HR with Diff........................................... 153  74  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093365 -               0905....BP HR with Diff........................................... 148  70  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093366 -               0910....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093367 -               0910... 20 14600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093368 -               0910... 80 76320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093369 -               0000....1000  64000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093370 -               0000....200    5800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093371 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093372 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093373 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093374 -               1810... 40 33000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093375 -               2030............ 10 10210  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093376 -               2030............ 10  9800  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093377 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093378 -               2140... 40 13140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093379 -               2150... 1000 1144000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093380 -               2230... 80 76400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093382 -  ..
093383 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093384 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093386 -  ..
093387 - Blood pressure high today, heart rate higher than expected after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093388 - taking reduced gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093389 - past few days.  BP and HR okay after hiking 15 miles and cool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093390 - temperature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093392 -  ..
093393 - Weight - only 2nd time in over a year have been 178 before hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093394 - previously 3 weeks ago on 180509. ref SDS 0 527M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093396 -  ..
093397 - Pain medication - acetaminophen and ibuprofen - pain level 6 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093398 - bunion prevented hiking today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093400 -  ..
093401 - Tailor's Bunion left foot - applied Doctor Scholl's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093402 - past 2 days, and today placed pliable rubber-like elongated pad over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093403 - the left edge of the foot after cutting out section for the swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093404 - area.  Expected this would provide bridge to relieve pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093405 - swelled area.  Taped this pad with cutout onto the left edge of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093406 - foot.  Pain level 6 starting hike; decided to end hike immediately.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093408 -  ..
093409 - Hiking - none, left foot tailor's bunion pain level 7, treated by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093410 - Doctor Tang at VAMCSF today, reported in another record on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093411 - 1230. ref SDS 91 AZ7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093413 -  ..
093414 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093415 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093416 - Dinner - rice hamburger celery onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093418 -  ..
093419 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093422 -         ..
093423 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093424 -  147.  180527 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093425 -               0830....BP HR with Diff........................................... 143  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093426 -               0835....BP HR with Diff........................................... 146  79  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093427 -               0840....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093428 -               0840... 20 14600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093429 -               0840... 80 76320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093430 -               0840....1000  64000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093431 -               0840....200    5800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093432 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093433 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093434 -               1030....miles...........   3.0  46.00   44  735 minutes temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093435 -          * cr 1220....miles...........  12.0  58.00  187  922 minutes temp  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093436 -               1630....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093437 -               1635....BP HR with Diff........................................... 107  78 125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093438 -               1640....BP HR with Diff...........................................  92  71 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093439 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093440 -               1800... 40 33000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093441 -             1 2100............ 10 10210  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093442 -             1 2100............ 10  9800  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093443 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093444 -               2140... 40 13140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093445 -               2150... 1000 1144000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093446 -               2230... 80 76400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093448 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093450 -  ..
093451 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093452 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093454 -  ..
093455 - Blood pressure high today, heart rate good after taking reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093456 - gastrointestinal drugs last night, and after not hiking past few days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093457 - BP and HR okay after hiking 15 miles and high temperature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093459 -  ..
093460 - Weight - 184 increases from not hiking past 3 days, before hiking;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093461 - lost 6 pounds during hike with pace, distance and temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093463 -  ..
093464 - Pain medication - acetaminophen and ibuprofen - pain level 6 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093465 - bunion at time during hike; plantar plate tear pain level 0, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093466 - metatarsalgia pain level 0 during 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093468 -  ..
093469 - Double socks only - apply felt/wool cloth strip woven between toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093470 - both feet.  Worked well to reduce burning sensation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093472 -  ..
093473 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093474 - toe and ring toe.  Worked well.  Right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093475 - Worked well entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093477 -  ..
093478 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093479 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093480 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093482 -  ..
093483 - Plantar plate right foot injury - pain level 0 entire hike; could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093484 - partially effect of pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093486 -  ..
093487 - Metatarsalgia right foot - did not recur today, after flare up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093488 - 180521, per above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093490 -  ..
093491 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093492 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093493 - apply protective gel pad wrapped with white tape today.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093494 - entire hike with felt/wool cloth strip wrapped around toes.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093495 - well today hiking 3 miles at Lafayette reservoir.  Began feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093496 - blistering of callused big toes about mile 5 during 2nd hike going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093497 - Crystal Ranch Road.  After hike applied Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093498 - prescribed by Doctor Tang during the meeting in Podiatry at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093499 - 180525 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093502 -  ..
093503 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093504 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093505 - apply protective gel pad wrapped with white tape today.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093506 - entire hike with felt/wool cloth strip wrapped around toes.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093507 - well today hiking 3 miles at Lafayette reservoir.  Began feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093508 - blistering of callused big toes about mile 5 during 2nd hike going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093509 - Crystal Ranch Road.  After hike applied Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093510 - prescribed by Doctor Tang during the meeting in Podiatry at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093511 - 180525 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093513 -  ..
093514 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093515 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093516 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093517 - protective gel pad wrapped with white tape today.  Pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093518 - hike with felt/wool cloth strip wrapped around toes.  Worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093519 - today hiking 3 miles at Lafayette reservoir, and during 2nd 12 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093520 - hike.  After hike applied Ammonium Lactate 12% prescribed by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093521 - Tang during the meeting in Podiatry at VAMCSF on 180525 1230.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093522 - ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093525 -  ..
093526 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093527 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093529 -  ..
093530 - Tailor's Bunion left foot - applied Doctor Scholl's acid treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093531 - past 2 days, and today placed custom cushion protection created by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093532 - Doctor Tang in Podiatry at VAMCSF on 180525 1230. ref SDS 91 B49K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093533 - Expected this would provide bridge to relieve pressure on swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093534 - area.  Pain level 6 starting hike.  Continued and pain subsided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093535 - pain level 1 at Lafayette Reservoir, so could hike with fast pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093536 - Same for 2nd hike doing Concord 15 mile route, including Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093537 - Road hills.  May have had some pain level 8 or 9, but only short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093538 - periods.  Have to modify cushion protection created by Doctor Tang -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093539 - lengthen cutout so area of greatest pain has no pressure from side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093540 - shoe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093542 -  ..
093543 - Lafayette Reservoir with Kathy - rehab tailor's bunion left foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093544 - following treatment with Doctor Tang in Podiatry at VAMCSF yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093545 - on 180525 1230. ref SDS 91 WI3F  Hiked down the dam and around to 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093546 - steep hill.  Initial 200 yards was pain level 6 Tailor's Bunion left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093547 - foot - caused limping.  Pain level 0 calluses both big toes.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093548 - 200 yards pain left foot tailor's bunion began to subside.  Kathy took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093549 - less severe route behind the Ranger's station.  Hiked up the 1st steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093550 - hill.  Handled this well.  Right foot plantar plate tear pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093551 - with just acetaminophen and ibuprofen.  Continued together to mile 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093552 - mark.  Kathy turned and hiked back to where we started half way done                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093553 - the dam.  Increased speed hiking around the lake with left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093554 - tailor's bunion pain level 1.  Hiked remaining hills well with fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093555 - pace including Killer Ridge.  About mile 2 saw Becky.  She has hurt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093556 - her right ankle.  She slipped and fell on the paved trail.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093557 - stop and visit.  Tailor's bunion left foot pain level 0 - 1, so very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093558 - fast pace to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093560 -  ..
093561 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093562 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093563 - okay, calfs pain level 0.  Left foot tailor's bunion pain level 4 - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093564 - slowed pace; at mile .8 pain level 2.  Time to 1.25 miles 19 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093565 - Maintained pace on Clayton hiking on concrete sidewalk tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093566 - left foot pain level 2.  Right foot plantar plate injury pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093567 - Mile 2.75 no burning sensation right ball of foot, possibly because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093568 - using felt/wool cloth strip wrapped between toes for cushioning, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093569 - using pain medication, ref SDS 0 RVVR, Turned corner at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093570 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093571 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093572 - flow.  Wind much less today.  Maintain fast pace time to mile 4.25 66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093573 - minutes.  Continuing on Ygnacio Valley Road mile 4.5 calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093574 - 0.  At mile 4.75 tailor's bunion left foot pain level 1, no burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093575 - sensation right foot, so turned corner and hiked 2-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093576 - Crystal Ranch Road.  Maintained pace going 1 mile uphill.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093577 - half way up left foot tailor's bunion pain level 3.  Maintain pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093578 - summit on flat ground left foot tailor's bunion pain level 1.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093579 - down steep hill to Rolling Woods Way slowed pace pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093580 - knee.  Pain level 0 left knee.  May indicate PRP treatments on 170726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093581 - and on 180105, still effective preventing osteoarthritis.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093582 - Rolling Woods Way.  Increased pace going up steep hill for .3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093583 - with left foot tailor's bunion pain level 2 - no right leg hamstring,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093584 - no burning sensation right foot, no metatarsalgia right and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093585 - pain level 0, both knees pain level 0.  Going downhill slowed pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093586 - suffered no injuries to knees and right foot.  Pain level 0 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093587 - plantar plate injury.  Left foot tailor's bunion pain level 2.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093588 - corner and hiked 2 miles East on Pine Hollow toward town of Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093589 - Turned left and hiked .5 miles North on Mitchell Canyon Road toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093590 - town of Clayton.  Called Kathy to meet at Skipolini's pizza in 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093591 - minutes.  She was at CVS Pharmacy, so had to return home to get blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093592 - pressure monitor and change of sweatshirt.  Turned left and hiked .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093593 - miles North on Mitchell Canyon Road.  Left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093594 - level 3.  Turned corner onto Clayton Road going East.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093595 - Marsh Creek Road.  Turned South and hiked .5 miles.  Call Kathy.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093596 - had already arrived at Skipolini's.  Stopped and reversed direction.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093597 - Hiked .5 miles North back to Main Street.  Turned left on Main street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093598 - and hiked .25 miles to Skipolini's.  Met Kathy.  Changed sweatshirts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093599 - and used towel to dry off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093601 -  ..
093602 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093603 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093604 - Dinner - pizza apple pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093606 -  ..
093607 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093611 -         ..
093612 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093613 -  148.  180528 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093614 -               0850....BP HR with Diff........................................... 135  84  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093615 -               0855....BP HR with Diff........................................... 137  74  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093616 -               0900....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093617 -               0900... 20 14620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093618 -               0900... 80 76480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093619 -               0900....1000  65000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093620 -               0900....200    6000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093621 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093622 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093623 -               1000....miles...........   4.0   4.00   63   63 minutes temp  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093624 -               1200....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093625 -               1205....BP HR with Diff........................................... 114  75  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093626 -               1210....BP HR with Diff........................................... 118  71  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093627 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093628 -               1800... 40 33040 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093629 -               1940............ 10 10220  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093630 -               1940............ 10  9810  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093631 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093632 -               2050... 40 13180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093633 -               2120... 1000 1145000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093634 -               2210... 80 76560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093636 -  ..
093637 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093638 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093640 -  ..
093641 - Blood pressure still high but better today, heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093642 - taking reduced gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093643 - yesterday.  BP and HR okay after hiking only 4 miles and high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093644 - temperature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093646 -  ..
093647 - Weight - 180 good drop after hiking yesterday, and before hiking; lost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093648 - 3 pounds during hike with pace and temperature, even though only 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093649 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093651 -  ..
093652 - Pain medication - acetaminophen and ibuprofen - pain level 6 tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093653 - bunion at time during hike; plantar plate tear pain level 0, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093654 - metatarsalgia pain level 0 during 4 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093656 -  ..
093657 - Double socks only - apply felt/wool cloth strip woven between toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093658 - both feet.  Worked well to reduce burning sensation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093660 -  ..
093661 - Toe caps recommended by Mark Wachter at On-the-Run - left foot little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093662 - toe and ring toe.  Worked well.  Right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093663 - Worked well entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093665 -  ..
093666 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093667 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093668 - reported on 171229 1010. ref SDS 76 JI6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093670 -  ..
093671 - Plantar plate right foot injury - pain level 0 entire hike; could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093672 - partially effect of pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093674 -  ..
093675 - Metatarsalgia right foot - did not recur today, after flare up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093676 - 180521, per above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093678 -  ..
093679 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093680 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093681 - protective gel pad wrapped with white tape today.  Pain level 0 - 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093682 - entire hike with felt/wool cloth strip wrapped around toes.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093683 - poorly hiking 4 miles at Lafayette reservoir.  Began feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093684 - blistering of callused big toes about mile 1.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093685 - Ammonium Lactate 12% prescribed by Doctor Tang during the meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093686 - Podiatry at VAMCSF on 180525 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093688 -  ..
093689 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093690 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093691 - apply protective gel pad wrapped with white tape today.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093692 - entire hike with felt/wool cloth strip wrapped around toes.  Worked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093693 - well today hiking 4 miles at Lafayette reservoir.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093694 - Ammonium Lactate 12% prescribed by Doctor Tang during the meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093695 - Podiatry at VAMCSF on 180525 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093697 -  ..
093698 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093699 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093700 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093701 - protective gel pad wrapped with white tape today.  Pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093702 - hike with felt/wool cloth strip wrapped around toes.  Worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093703 - today hiking 3 miles at Lafayette reservoir, and during 2nd 12 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093704 - hike.  After hike applied Ammonium Lactate 12% prescribed by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093705 - Tang during the meeting in Podiatry at VAMCSF on 180525 1230.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093706 - ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093708 -  ..
093709 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093710 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093712 -  ..
093713 - Tailor's Bunion left foot - placed custom cushion protection created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093714 - by Doctor Tang in Podiatry at VAMCSF on 180525 1230. ref SDS 91 B49K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093715 - Provided bridge to relieve pressure on swelled area.  Increased size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093716 - of cutout and positioned carefully over swelled injured area, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093717 - planning yesterday, above. ref SDS 0 RVVV  Pain level 6 starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093718 - Continued and pain subsided to pain level 2 so could hike with fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093719 - pace.  Pain fluctuated level 2 - 7.  Not sure if modifications of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093720 - cushion protection helped today.  Was unable to do 2nd hike due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093721 - severe pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093723 -  ..
093724 - Lafayette Reservoir with Kathy - rehab tailor's bunion left foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093725 - following treatment with Doctor Tang in Podiatry at VAMCSF yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093726 - on 180525 1230. ref SDS 91 WI3F  Hiked down the dam and around to 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093727 - steep hill.  Initial 200 yards was pain level 6 Tailor's Bunion left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093728 - foot - caused limping.  Pain level 0 calluses both big toes.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093729 - 200 yards pain left foot tailor's bunion began to subside.  Kathy took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093730 - 1st big hill today, rather than shallower route behind the Ranger's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093731 - station.  Hiked up the 1st steep hill.  Handled this well.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093732 - plantar plate tear pain level 0 with just acetaminophen and ibuprofen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093733 - Continued together to mile 1 mark.  Kathy turned and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093734 - where we started half way down the dam.  Increased speed hiking around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093735 - the lake with left foot tailor's bunion flutuating pain level 2 - 6.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093736 - Hiked remaining hills well with fast pace including Killer Ridge.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093737 - Callus on big toe left foot also pain level 1 - 4, so not fun hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093739 -  ..
093740 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093741 - ref SDS 22 HG3F  Unable to do 2nd hike due to severe pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093743 -  ..
093744 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093745 - Lunch - half hamubrger few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093746 - Dinner - rice hamburger celery mushrooms onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093748 -  ..
093749 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093753 -         ..
093754 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093755 -  149.  180529 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093756 -               0830....BP HR with Diff........................................... 133  79  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093757 -               0835....BP HR with Diff........................................... 131  75  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093758 -               0840....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093759 -               0840... 20 14640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093760 -               0840... 80 76640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093761 -               0840....1000  66000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093762 -               0840....200    6200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093763 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093764 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093765 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093766 -               1820... 40 33080 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093767 -             1 0000............ 10 10220  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093768 -             1 0000............ 10  9810  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093769 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093770 -               2100... 40 13220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093771 -               2120... 1000 1146000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093772 -               2210... 80 76720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093774 -  ..
093775 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093776 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093778 -  ..
093779 - Blood pressure still high but better today, heart rate high after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093780 - taking reduced gastrointestinal drugs last night, and after minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093781 - hiking (4 miles) yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093783 -  ..
093784 - Weight - 183 after hiking 4 miles yesterday - rediculous.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093786 -  ..
093787 - Pain medication - acetaminophen and ibuprofen - but did not hike due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093788 - to high temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093790 -  ..
093791 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093792 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093793 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093794 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093795 - 1230, ref SDS 91 268M, this evening used Egg Ped tool to further shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093796 - callus and emory paper to sand the callus to near normal skin contour.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093798 -  ..
093799 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093800 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093801 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093802 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093803 - 1230, ref SDS 91 268M, this evening used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093804 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093805 - contour.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093807 -  ..
093808 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093809 - ref SDS 0 Y65F - after Doctor Tang cut dead skin down during meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093810 - in Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093811 - applying Ammonium Lactate 12% the past few days, as prescribed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093812 - Doctor Tang during the meeting in Podiatry at VAMCSF on 180525 1230,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093813 - ref SDS 91 268M, blister feels significantly healed.  There is no pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093814 - with pressure today - seems like a miracle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093816 -  ..
093817 - Tailor's Bunion left foot - after resting for several days, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093818 - treating with Ammonium Lactate 12% past several days, as prescribed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093819 - Doctor Tang during the meeting in Podiatry at VAMCSF on 180525 1230,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093820 - ref SDS 91 268M, this injury seems to be healing.  There is no pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093821 - with pressure today - seems like a miracle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093823 -  ..
093824 - Hiking - none today, very hot - temperatuere 93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093826 -  ..
093827 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093828 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093829 - Dinner - rice hamburger celery mushrooms onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093831 -  ..
093832 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093836 -         ..
093837 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093838 -  150.  180530 0625..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093839 -               0720....BP HR with Diff........................................... 128  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093840 -               0725....BP HR with Diff........................................... 136  78  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093841 -               0730....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093842 -               0730... 20 14660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093843 -               0730... 80 76800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093844 -               0000....1000  66000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093845 -               0000....200    6200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093846 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093847 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093848 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093849 -               1810... 40 33120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093850 -               2100............ 10 10230  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093851 -               2100............ 10  9820  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093852 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093853 -               2220... 40 13260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093854 -               2240... 1000 1147000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093855 -               2330... 80 76880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093857 -  ..
093858 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093859 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093861 -  ..
093862 - Blood pressure still high but better today, heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093863 - taking reduced gastrointestinal drugs last night, and after no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093864 - yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093866 -  ..
093867 - Weight - 183 after hiking 4 miles yesterday - rediculous.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093869 -  ..
093870 - Pain medication - acetaminophen and ibuprofen - but did not hike due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093871 - to high temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093873 -  ..
093874 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093875 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093876 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093877 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093878 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093879 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093880 - contour, per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093882 -  ..
093883 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093884 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093885 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093886 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093887 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093888 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093889 - contour, per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093891 -  ..
093892 - Tailor's Bunion left foot - after resting for several days, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093893 - treating with Ammonium Lactate 12% past several days, as prescribed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093894 - Doctor Tang during the meeting in Podiatry at VAMCSF on 180525 1230,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093895 - ref SDS 91 268M, this injury seems to be healing.  There is no pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093896 - with pressure today - seems like a miracle.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093898 -  ..
093899 - Hiking - none, too windy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093901 -  ..
093902 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093903 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093904 - Dinner - rice hamburger celery brocolli salmon onion tomato, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093905 - milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093907 -  ..
093908 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093912 -         ..
093913 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093914 -  151.  180531 0625..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093915 -               0810....BP HR with Diff........................................... 138  81  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093916 -               0815....BP HR with Diff........................................... 143  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093917 -               0820....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093918 -               0820... 20 14680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093919 -               0820... 80 76960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093920 -               0000....1000  66000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093921 -               0000....200    6200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093922 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093923 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093924 -          * cr 1200....miles...........  11.0  15.00  176  239 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093925 -               1530....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093926 -               1540....BP HR with Diff........................................... 110  75 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093927 -               1545....BP HR with Diff........................................... 108  73  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093928 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093929 -               1810... 40 33160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093930 -             1 0000............ 10 10230  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093931 -             1 0000............ 10  9820  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093932 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093933 -               2110... 40 13300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093934 -               2130... 1000 1148000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093935 -               2200... 80 77040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093937 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093939 -  ..
093940 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093941 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093943 -  ..
093944 - Blood pressure still high but better today, heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093945 - taking reduced gastrointestinal drugs last night, and after no hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093946 - yesterday.  BP and heart rate okay after 11 mile hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093948 -  ..
093949 - Weight - 184 after no hiking yesterday - rediculous - and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093950 - hiking; lost 3 pounds during hike with pace and temperature, even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093951 - though only 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093953 -  ..
093954 - Pain medication - none - pain level 0 left foot tailor's bunion most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093955 - of route; pain level 1 for about 200 yards going downhill Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093956 - Ranch Road, and same going downhill Rolling Woods Way for only about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093957 - 200 yards.  After hike feeling tailor's bunion left foot pain level 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093958 - plantar plate tear pain level 0, and metatarsalgia pain level 0 during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093959 - 11 mile hike.  Left foot big toe callus pain level 3 going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093960 - Crystal Ranch Road maybe .25 miles and same on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093961 - Hours after hike in evening body hurt a little for several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093963 -  ..
093964 - Double socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093965 - ref SDS 92 9O6X  Wore 1 pair Thorlow wool socks over smartwool socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093966 - for 2 pair.  Seemed helpful for 1st 6 miles, then not sure about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093967 - correlation with left foot big toe callus.  Did not apply felt/wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093968 - cloth strip woven between toes both feet.  Worked about same as with 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093969 - pair Thorlow wool socks - burning sensation about mile 2 for 2 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093970 - miles, then subsided rest of hike.  Going downhill on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093971 - Road, and later going downhill on Rolling Woods Way felt toes both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093972 - feet pressing on front of shoes.  This subsided on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093974 -  ..
093975 - Toe caps recommended by Mark Wachter at On-the-Run - did not use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093976 - these today.  Worked pretty well for most of hike, but will apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093977 - this remedy tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093979 -  ..
093980 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093981 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093982 - reported on 171229 1010. ref SDS 76 JI6K  Probably don't need this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093983 - now.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093985 -  ..
093986 - Plantar plate right foot injury - pain level 0 entire hike; could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093987 - be partially effect of pain medication, because did not use any.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093988 - Maybe this is healed??                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093990 -  ..
093991 - Metatarsalgia right foot - did not recur today, after flare up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093992 - 180521, per above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093994 -  ..
093995 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093996 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093997 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093998 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093999 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094000 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094001 - contour, per above. ref SDS 0 SPRT  Then today, did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094002 - protective gel pad with white tape.  This worked well for 1st 6 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094003 - then going downhill on Crystal Ranch Road pain level 3 for maybe .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094004 - miles and same on Rolling Woods Way.  After turning corner from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094005 - Hollow onto Ygnacio Valley Road and hiking back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094006 - to complete 4-mile loop, began feeling left foot callus again.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094007 - increased to pain level 2, so on reaching Cowell, turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094008 - hiked only 11 miles.  After hike applied Ammonium Lactate 12% again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094009 - and tomorrow will use protective gel pad with white tape on this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094010 - injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094012 -  ..
094013 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094014 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094015 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094016 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094017 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094018 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094019 - contour, per above. ref SDS 0 SPRT  Then today, did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094020 - protective gel pad with white tape.  This worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094021 - After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094023 -  ..
094024 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094025 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094026 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094027 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094028 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094029 - 268M, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094030 - Pain level 0 entire hike without felt/wool cloth strip wrapped around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094031 - toes.  Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094032 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094034 -  ..
094035 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094036 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094038 -  ..
094039 - Tailor's Bunion left foot - did not place custom cushion protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094040 - created by Doctor Tang in Podiatry at VAMCSF on 180525 1230.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094041 - ref SDS 91 B49K  After applying Ammonium Lactate 12% the past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094042 - days, as prescribed by Doctor Tang during the meeting in Podiatry at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094043 - VAMCSF on 180525 1230, ref SDS 91 268M, did not apply protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094044 - pad wrapped with white tape today.  Pain level 0 - 2 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094046 -  ..
094047 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094048 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094049 - okay, calfs pain level 0.  Left foot tailor's bunion pain level 0 - 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094050 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094051 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094052 - pain level 0.  Mile 2.75 slight burning sensation right ball of foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094053 - possibly because today did not use felt/wool cloth strip wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094054 - between toes for cushioning.  Turned corner at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094055 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094056 - from North to South Side to hike against Eastbound traffic flow.  Wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094057 - much less today.  Maintain slow pace with slight burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094058 - right foot.  Time mile 4.25 71 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094059 - Road mile 4.5 calfs pain level 0.  At mile 4.75 pain level 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094060 - burning sensation subsided, so turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094061 - Crystal Ranch Road.  Maintained pace going 1 mile uphill.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094062 - half way up, burning sensation right foot did not occur, and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094063 - level 0 metatarsalgia right foot all the way to summit.  Plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094064 - injury pain level 0.  At summit maintained pace on flat ground.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094065 - foot metatarsalgia pain level 0.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094066 - Woods Way slowed pace pain level 2 right knee.  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094067 - knee.  May indicate PRP treatments on 170726, and on 180105, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094068 - effective preventing osteoarthritis.  Left foot callus pain level 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094069 - for maybe .25 and felt toes both feet pressing on front of shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094070 - wearing new smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094071 - and with 1 pair Thorlow wool socks over smartwool socks, for 2 pair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094072 - per above. ref SDS 0 SRPR  Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094073 - steep hill relieved left foot callus pain and toes both feet shifted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094074 - to stop pressing on front of shoes.  Maintained pace going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094075 - hill for .3 miles with pain level 0 - no right leg hamstring, no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094076 - burning sensation right foot, metatarsalgia right foot pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094077 - both knees pain level 0.  Going downhill slowed pace.  Pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094078 - left knee and pain level 0 right knee.  Pain level 0 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094079 - plantar plate injury.  Left foot tailor's bunion pain level 1.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094080 - foot callus again pain level 3 for maybe .25 and felt toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094081 - pressing on front of shoes.  This subsided turning corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094082 - Hollow and hiking 1 mile on flat ground.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094083 - Valley Road.  Hiked 1 mile back to Crystal Ranch Road.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094084 - Ygnacio Valley Road uphill to Cowell.  Callus left foot pain level 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094085 - so turned corner and hiked 1 mile back to Treat.  Going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094086 - Cowell for .25 miles increased Callus pain level 3.  Reaching flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094087 - ground Callus pain decreased to pain level 1.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094088 - Treat - could not cross the street because of red traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094089 - Hiked West in past Union 76 gas staion on corner, then crossed Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094090 - when break in commute traffic occurred.  Someone yelled several times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094091 - somthing like "Great job - way to go!"  On reaching the other side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094092 - Treat looked back and saw a man yelling this same thing again, adding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094093 - "I've been seeing you hiking and running in front of my station for 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094094 - years!  Way to go!"  I waved and said something like "Your doing a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094095 - great job too!"  After hike in evening body hurt a little for several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094096 - hours.  Might be effect of not taking pain medication, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094097 - ref SDS 0 SQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094099 -  ..
094100 - Breakfast - ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094101 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094102 - Dinner - rice hamburger celery salmon mushrooms onion tomato, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094103 - milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094105 -  ..
094106 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094110 -         ..
094111 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094112 -  152.  180601 0715..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094113 -               0920....BP HR with Diff........................................... 146  81  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094114 -               0925....BP HR with Diff........................................... 139  82  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094115 -               0930....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094116 -               0930... 20 14700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094117 -               0930... 80 77120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094118 -               0930....1000  67000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094119 -               0930....200    6400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094120 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094121 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094122 -          * cr 1300....miles...........  11.0  26.00  176  417 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094123 -               1640....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094124 -               1650....BP HR with Diff...........................................  95  72 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094125 -               1655....BP HR with Diff...........................................  93  67 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094126 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094127 -               1800... 40 33200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094128 -               2050............ 10 10240  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094129 -               2050............ 10  9830  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094130 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094131 -               2200... 40 13340 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094132 -               2220... 1000 1149000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094133 -               2250... 80 77200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094135 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094137 -  ..
094138 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094139 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094141 -  ..
094142 - Blood pressure still high but better today, heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094143 - taking gastrointestinal drugs last night, and after hiking yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094144 - BP and heart rate good after 11 mile hike today, with temperatue over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094145 - 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094147 -  ..
094148 - Weight - 182 after hiking 11 miles yesterday - little better - and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094149 - before hiking; lost 4 pounds hiking 11 miles with pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094150 - temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094152 -  ..
094153 - Pain medication - acetaminophen and ibuprofen.  Pain level 2 - 3 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094154 - foot tailor's bunion 30% of route; after hike feeling tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094155 - left foot pain level 1.  Both knees pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094156 - foot plantar plate tear pain level 0, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094157 - during 11 mile hike.  Left foot big toe callus pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094158 - hike with protective gel and white tape dressing.  Right foot big toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094159 - callus pain level 2 hiking Ygnacio Valley Road after turning from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094160 - Hollow about mile 8.  Hours after hike in evening body hurt a little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094161 - for several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094163 -  ..
094164 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094165 - ref SDS 92 9O6X  Applied felt/wool cloth strip woven between toes both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094166 - feet.  Burning sensation about mile 2 for .25 miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094167 - rest of hike.  Going downhill on Crystal Ranch Road, and later going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094168 - downhill on Rolling Woods Way did not feel toes both feet pressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094169 - front of shoes, as occurred wearing 2 pair socks yesterday on 180531,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094170 - per above. ref SDS 0 SRPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094172 -  ..
094173 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094174 - ring toe in combination with dressing for Tailor's bunion, and used on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094175 - right foot little toe and ring toe.  Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094177 -  ..
094178 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094179 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094180 - reported on 171229 1010. ref SDS 76 JI6K  Probably don't need this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094181 - now.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094183 -  ..
094184 - Plantar plate right foot injury - pain level 0 entire hike; could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094185 - be partially effect of pain medication, because did not use any.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094186 - Maybe this is healed??                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094188 -  ..
094189 - Metatarsalgia right foot - did not recur today, after flare up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094190 - 180521, per above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094192 -  ..
094193 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094194 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094195 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094196 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094197 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094198 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094199 - contour, per above. ref SDS 0 SPRT  Then today, applied protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094200 - pad with white tape.  This worked well.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094201 - After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094203 -  ..
094204 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094205 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094206 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094207 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094208 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094209 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094210 - contour, per above. ref SDS 0 SPRT  Then today, did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094211 - protective gel pad with white tape.  This worked well until about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094212 - 8 then pain level 2 hiking Ygnacio Valley Road after turning from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094213 - Hollow.  Tomorrow will apply protective gal with white tape again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094215 -  ..
094216 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094217 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094218 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094219 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094220 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094221 - 268M, applied protective gel pad wrapped with white tape today.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094222 - level 0 entire hike without felt/wool cloth strip wrapped around toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094223 - Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094224 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094226 -  ..
094227 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094228 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094230 -  ..
094231 - Tailor's Bunion left foot - applied custom cushion protection created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094232 - by Doctor Tang in Podiatry at VAMCSF on 180525 1230. ref SDS 91 B49K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094233 - After applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094234 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094235 - 1230, ref SDS 91 268M, pain level 1 - 3 most of hike.  May try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094236 - creating new custom cushion pad.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094238 -  ..
094239 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094240 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094241 - low, calfs pain level 0.  Left foot tailor's bunion pain level 0 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094242 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094243 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094244 - pain level 0.  Mile 2 very slight burning sensation ball right of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094245 - foot, possibly because today used felt/wool cloth strip wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094246 - between toes for cushioning.  Burning sensation ended OA mile 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094247 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094248 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094249 - North to South Side to hike against Eastbound traffic flow.  Wind much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094250 - less today.  Maintain slow pace due left foot Tailor's Bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094251 - level 2.  Time mile 4.25 70 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094252 - Road mile at mile 4.75 pain level 0 except left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094253 - pain level 1, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094254 - Road.  Maintained pace going 1 mile uphill.  About half way up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094255 - burning sensation right foot did not occur, and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094256 - metatarsalgia right foot all the way to summit.  Left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094257 - bunion pain level 2.  Plantar plate injury pain level 0.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094258 - maintained pace on flat ground.  Right foot metatarsalgia pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094259 - 0.  Left foot tailor's bunion pain level 0.  Going down steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094260 - toward Rolling Woods Way slowed pace both knees pain level 0.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094261 - indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094262 - preventing osteoarthritis.  Left foot callus pain level 0.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094263 - feel feet pressing on front of shoes wearing only new smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094264 - received on 180530 0726, ref SDS 92 9O6X, and not wearing 2nd pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094265 - Thorlow wool socks over smartwool socks, as done yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094266 - ref SDS 0 SRPR  Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094267 - increased pace for .3 miles with pain level 0 - no right leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094268 - hamstring, no burning sensation right foot, metatarsalgia right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094269 - pain level 0, both knees pain level 0, left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094270 - level 0.  Going downhill slowed pace.  Pain level 0 left knee and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094271 - level 0 right knee.  Pain level 0 right foot plantar plate injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094272 - Left foot tailor's bunion pain level 1.  Left foot callus pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094273 - 0, right foot callus pain level 2.  Did not feel toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094274 - pressing on front of shoes.  Turned corner onto Pine Hollow and hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094275 - 1 mile on flat ground.  Everything pain level 0.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094276 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094277 - Continued on Ygnacio Valley Road uphill to Cowell.  Feeling effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094278 - temperature 82, so turned corner and hiked 1 mile back to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094279 - Turned corner onto Treat and hiked .5 miles home.  After hike in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094280 - evening body did not hurt, as occurred yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094281 - ref SDS 0 SRVY  Might be effect of taking pain medication, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094282 - ref SDS 0 SQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094284 -  ..
094285 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094286 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094287 - Dinner - brocolli asparagus celery mushrooms onion tomato cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094289 -  ..
094290 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094294 -         ..
094295 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094296 -  153.  180602 0705..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094297 -               0740....BP HR with Diff........................................... 132  75  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094298 -               0745....BP HR with Diff........................................... 125  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094299 -               0750....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094300 -               0750... 20 14720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094301 -               0750... 80 77280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094302 -               0750....1000  68000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094303 -               0750....200    6600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094304 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094305 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094306 -          * cr 0940....miles...........  13.0  49.00  202  619 minutes temp  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094307 -               1340....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094308 -               1350....BP HR with Diff........................................... 103  73 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094309 -               1355....BP HR with Diff........................................... 105  67  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094310 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094311 -               1700... 40 33240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094312 -             1 0000............ 10 10240  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094313 -             1 0000............ 10  9830  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094314 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094315 -               2020... 40 13380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094316 -               2040... 1000 1150000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094317 -               2210... 80 77400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094319 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094321 -  ..
094322 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094323 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094325 -  ..
094326 - Blood pressure much better today, heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094327 - taking reduced gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094328 - yesterday.  BP and heart rate okay after 13 mile hike today, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094329 - temperatue over 90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094331 -  ..
094332 - Weight - 182 after hiking 11 miles yesterday - no improvement - and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094333 - before hiking; lost 7 pounds hiking 13 miles with pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094334 - temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094336 -  ..
094337 - Pain medication - acetaminophen and ibuprofen.  Pain level 2 - 3 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094338 - foot tailor's bunion 30% of route; after hike feeling tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094339 - left foot pain level 1.  Both knees pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094340 - foot plantar plate tear pain level 0, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094341 - during 11 mile hike.  Left foot big toe callus pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094342 - hike with protective gel and white tape dressing.  Right foot big toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094343 - callus pain level 2 hiking Ygnacio Valley Road after turning from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094344 - Hollow about mile 8.  Hours after hike in evening body hurt a little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094345 - for several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094347 -  ..
094348 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094349 - ref SDS 92 9O6X  Applied felt/wool cloth strip woven between toes both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094350 - feet.  Burning sensation about mile 2 for .25 miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094351 - rest of hike.  Going downhill on Crystal Ranch Road, and later going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094352 - downhill on Rolling Woods Way did not feel toes both feet pressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094353 - front of shoes, as occurred wearing 2 pair socks yesterday on 180531,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094354 - per above. ref SDS 0 SRPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094356 -  ..
094357 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094358 - ring toe in combination with dressing for Tailor's bunion, and used on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094359 - right foot little toe and ring toe.  Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094361 -  ..
094362 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094363 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094364 - reported on 171229 1010. ref SDS 76 JI6K  Probably don't need this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094365 - now.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094367 -  ..
094368 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094370 -  ..
094371 - Metatarsalgia right foot - did not recur today, after flare up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094372 - 180521, per above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094374 -  ..
094375 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094376 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094377 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094378 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094379 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094380 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094381 - contour, per above. ref SDS 0 SPRT  Then today, applied protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094382 - pad with white tape.  This worked well.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094383 - After hike used Egg Ped tool and emory pad again to further shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094384 - callus, then applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094386 -  ..
094387 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094388 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094389 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094390 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094391 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094392 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094393 - contour, per above. ref SDS 0 SPRT  Today applied protective gel pad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094394 - with white tape.  This worked well - pain level 0 entire hike.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094395 - hike used Egg Ped tool and emory pad again to further shave callus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094396 - then applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094398 -  ..
094399 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094400 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094401 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094402 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094403 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094404 - 268M, applied protective gel pad wrapped with white tape today.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094405 - level 0 entire hike with felt/wool cloth strip wrapped around toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094406 - Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094407 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094409 -  ..
094410 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094411 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094413 -  ..
094414 - Tailor's Bunion left foot - created new custom cushion protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094415 - today.  Increased size of opening, because injury is now bigger -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094416 - replaces custom cushion protection created by Doctor Tang in Podiatry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094417 - at VAMCSF on 180525 1230. ref SDS 91 B49K  After applying Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094418 - Lactate 12% the past few days, as prescribed by Doctor Tang during the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094419 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 268M, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094420 - level 0 - 2 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094422 -  ..
094423 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094424 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094425 - low, calfs pain level 0.  Left foot tailor's bunion pain level 0 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094426 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094427 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094428 - pain level 0.  Mile 2 very slight burning sensation ball right of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094429 - foot, possibly because today used felt/wool cloth strip wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094430 - between toes for cushioning.  Burning sensation ended OA mile 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094431 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094432 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094433 - North to South Side to hike against Eastbound traffic flow.  Wind much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094434 - less today.  Maintain slow pace due left foot Tailor's Bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094435 - level 2.  Time mile 4.25 70 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094436 - Road mile at mile 4.75 pain level 0 except left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094437 - pain level 1, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094438 - Road.  Maintained pace going 1 mile uphill.  About half way up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094439 - burning sensation right foot did not occur, and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094440 - metatarsalgia right foot all the way to summit.  Left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094441 - bunion pain level 2.  Plantar plate injury pain level 0.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094442 - maintained pace on flat ground.  Right foot metatarsalgia pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094443 - 0.  Left foot tailor's bunion pain level 0.  Going down steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094444 - toward Rolling Woods Way slowed pace both knees pain level 0.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094445 - indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094446 - preventing osteoarthritis.  Left foot callus pain level 0.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094447 - feel feet pressing on front of shoes wearing only new smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094448 - received on 180530 0726, ref SDS 92 9O6X, and not wearing 2nd pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094449 - Thorlow wool socks over smartwool socks, as done yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094450 - ref SDS 0 SRPR  Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094451 - increased pace for .3 miles with pain level 0 - no right leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094452 - hamstring, no burning sensation right foot, metatarsalgia right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094453 - pain level 0, both knees pain level 0, left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094454 - level 0.  Going downhill slowed pace.  Pain level 0 left knee and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094455 - level 0 right knee.  Pain level 0 right foot plantar plate injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094456 - Left foot tailor's bunion pain level 1.  Left foot callus pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094457 - 0, right foot callus pain level 2.  Did not feel toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094458 - pressing on front of shoes.  Turned corner onto Pine Hollow and hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094459 - 1 mile on flat ground.  Everything pain level 0.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094460 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094461 - Continued on Ygnacio Valley Road uphill to Cowell.  Feeling effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094462 - temperature 82, so turned corner and hiked 1 mile back to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094463 - Turned corner onto Treat and hiked .5 miles home.  After hike in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094464 - evening body did not hurt, as occurred yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094465 - ref SDS 0 SRVY  Might be effect of taking pain medication, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094466 - ref SDS 0 SQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094468 -  ..
094469 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094470 - Lunch - half hamburger few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094471 - Dinner - few bites brocolli asparagus celery mushrooms onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094472 - cottage cheese, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094474 -  ..
094475 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094479 -         ..
094480 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094481 -  154.  180603 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094482 -               0810....BP HR with Diff........................................... 126  72  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094483 -               0815....BP HR with Diff........................................... 122  76  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094484 -               0820....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094485 -               0820... 20 14740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094486 -               0820... 80 77440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094487 -               0820....1000  69000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094488 -               0820....200    6800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094489 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094490 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094491 -               0920....miles...........   3.0  48.00   44  627 minutes temp  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094492 -               1100....miles...........   9.0  51.00  187  804 minutes temp  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094493 -               1350....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094494 -               1355....BP HR with Diff........................................... 104  74 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094495 -               1400....BP HR with Diff........................................... 110  76  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094496 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094497 -               1740... 40 33280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094498 -               2010............ 10 10250  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094499 -               2010............ 10  9840  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094500 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094501 -               2130... 40 13420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094502 -               2150... 1000 1151000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094503 -               2230... 80 77520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094505 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094507 -  ..
094508 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094509 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094511 -  ..
094512 - Blood pressure much better today, heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094513 - taking reduced gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094514 - yesterday.  BP and heart rate okay after 12 mile hike today, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094515 - temperatue over 90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094517 -  ..
094518 - Weight - 182 after hiking 11 miles yesterday - no improvement - and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094519 - before hiking; lost 8 pounds hiking 12 miles with pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094520 - temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094522 -  ..
094523 - Pain medication - acetaminophen and ibuprofen.  Pain level 2 - 3 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094524 - foot tailor's bunion 30% of route; after hike feeling tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094525 - left foot pain level 1.  Both knees pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094526 - foot plantar plate tear pain level 0, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094527 - during 11 mile hike.  Left foot big toe callus pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094528 - hike with protective gel and white tape dressing.  Right foot big toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094529 - callus pain level 2 hiking Ygnacio Valley Road after turning from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094530 - Hollow about mile 8.  Hours after hike in evening body hurt a little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094531 - for several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094533 -  ..
094534 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094535 - ref SDS 92 9O6X  Applied felt/wool cloth strip woven between toes both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094536 - feet.  Burning sensation about mile 2 for .25 miles, then subsided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094537 - rest of hike.  Going downhill on Crystal Ranch Road, and later going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094538 - downhill on Rolling Woods Way did not feel toes both feet pressing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094539 - front of shoes, as occurred wearing 2 pair socks yesterday on 180531,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094540 - per above. ref SDS 0 SRPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094542 -  ..
094543 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094544 - ring toe in combination with dressing for Tailor's bunion, and used on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094545 - right foot little toe and ring toe.  Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094547 -  ..
094548 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094549 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094550 - reported on 171229 1010. ref SDS 76 JI6K  Probably don't need this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094551 - now.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094553 -  ..
094554 - Plantar plate right foot injury - pain level 0 entire hike; could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094555 - be partially effect of pain medication, because did not use any.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094556 - Maybe this is healed??                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094558 -  ..
094559 - Metatarsalgia right foot - did not recur today, after flare up on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094560 - 180521, per above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094562 -  ..
094563 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094564 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094565 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094566 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094567 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094568 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094569 - contour, per above. ref SDS 0 SPRT  Then today, applied protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094570 - pad with white tape.  This worked well.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094571 - After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094573 -  ..
094574 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094575 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094576 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094577 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094578 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094579 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094580 - contour, per above. ref SDS 0 SPRT  Then today, did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094581 - protective gel pad with white tape.  This worked well until about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094582 - 8 then pain level 2 hiking Ygnacio Valley Road after turning from Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094583 - Hollow.  Tomorrow will apply protective gal with white tape again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094585 -  ..
094586 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094587 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094588 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094589 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094590 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094591 - 268M, applied protective gel pad wrapped with white tape today.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094592 - level 0 entire hike without felt/wool cloth strip wrapped around toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094593 - Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094594 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094596 -  ..
094597 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094598 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094600 -  ..
094601 - Tailor's Bunion left foot - applied custom cushion protection created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094602 - by Doctor Tang in Podiatry at VAMCSF on 180525 1230. ref SDS 91 B49K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094603 - After applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094604 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094605 - 1230, ref SDS 91 268M, pain level 1 - 3 most of hike.  May try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094606 - creating new custom cushion pad.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094608 -             ..
094609 -            [...below on 180101 0820 created new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094610 -            protection pad for left foot tailor's bunion. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094611 -            SYYS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094613 -  ..
094614 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094615 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094616 - low, calfs pain level 0.  Left foot tailor's bunion pain level 0 - 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094617 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094618 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094619 - pain level 0.  Mile 2 very slight burning sensation ball right of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094620 - foot, possibly because today used felt/wool cloth strip wrapped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094621 - between toes for cushioning.  Burning sensation ended OA mile 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094622 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094623 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094624 - North to South Side to hike against Eastbound traffic flow.  Wind much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094625 - less today.  Maintain slow pace due left foot Tailor's Bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094626 - level 2.  Time mile 4.25 70 minutes.  Continuing on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094627 - Road mile at mile 4.75 pain level 0 except left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094628 - pain level 1, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094629 - Road.  Maintained pace going 1 mile uphill.  About half way up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094630 - burning sensation right foot did not occur, and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094631 - metatarsalgia right foot all the way to summit.  Left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094632 - bunion pain level 2.  Plantar plate injury pain level 0.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094633 - maintained pace on flat ground.  Right foot metatarsalgia pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094634 - 0.  Left foot tailor's bunion pain level 0.  Going down steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094635 - toward Rolling Woods Way slowed pace both knees pain level 0.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094636 - indicate PRP treatments on 170726, and on 180105, still effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094637 - preventing osteoarthritis.  Left foot callus pain level 0.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094638 - feel feet pressing on front of shoes wearing only new smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094639 - received on 180530 0726, ref SDS 92 9O6X, and not wearing 2nd pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094640 - Thorlow wool socks over smartwool socks, as done yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094641 - ref SDS 0 SRPR  Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094642 - increased pace for .3 miles with pain level 0 - no right leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094643 - hamstring, no burning sensation right foot, metatarsalgia right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094644 - pain level 0, both knees pain level 0, left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094645 - level 0.  Going downhill slowed pace.  Pain level 0 left knee and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094646 - level 0 right knee.  Pain level 0 right foot plantar plate injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094647 - Left foot tailor's bunion pain level 1.  Left foot callus pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094648 - 0, right foot callus pain level 2.  Did not feel toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094649 - pressing on front of shoes.  Turned corner onto Pine Hollow and hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094650 - 1 mile on flat ground.  Everything pain level 0.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094651 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094652 - Continued on Ygnacio Valley Road uphill to Cowell.  Feeling effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094653 - temperature 82, so turned corner and hiked 1 mile back to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094654 - Turned corner onto Treat and hiked .5 miles home.  After hike in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094655 - evening body did not hurt, as occurred yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094656 - ref SDS 0 SRVY  Might be effect of taking pain medication, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094657 - ref SDS 0 SQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094659 -  ..
094660 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094661 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094662 - Dinner - macaroni celery onion egg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094664 -  ..
094665 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094670 -         ..
094671 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094672 -  155.  180604 0705..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094673 -               0750....BP HR with Diff........................................... 126  73  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094674 -               0755....BP HR with Diff........................................... 126  79  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094675 -               0800....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094676 -               0800... 20 14760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094677 -               0800... 80 77600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094678 -               0800....1000  70000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094679 -               0800....200    7000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094680 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094681 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094682 -          * cr 0905....miles...........  11.0  11.00  173  173 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094683 -               1225....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094684 -               1240....BP HR with Diff........................................... 104  76  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094685 -               1245....BP HR with Diff........................................... 105  76  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094686 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094687 -               1740... 40 33320 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094688 -             1 0000............ 10 10250  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094689 -             1 0000............ 10  9840  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094690 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094691 -               1940... 40 13460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094692 -               2020... 1000 1152000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094693 -               2140... 80 77680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094695 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094697 -  ..
094698 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094699 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094701 -  ..
094702 - Blood pressure good today, heart rate okay after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094703 - gastrointestinal drugs last night, and after hiking yesterday.  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094704 - heart rate okay after 11 mile hike today, with temperatue over 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094706 -  ..
094707 - Weight - 180 after hiking 12 miles yesterday - 2 pound improvement -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094708 - and before hiking; lost 4 pounds hiking 11 miles with pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094709 - temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094711 -  ..
094712 - Pain medication - acetaminophen and ibuprofen.  Pain level 0 - 2 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094713 - foot tailor's bunion 20% of route.  Both knees pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094714 - hike.  Right foot plantar plate tear pain level 2 and/or metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094715 - pain level 2 for about .25 miles hiking up Crystal Ranch Road - this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094716 - ended and did nor recur rest of hike.  Left foot big toe callus pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094717 - level 1 last mile of hike without protective gel and white tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094718 - dressing.  Right foot big toe callus pain level 0 with applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094719 - protective gel and white tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094721 -  ..
094722 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094723 - ref SDS 92 9O6X  Applied felt/wool cloth strip woven between toes both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094724 - feet.  Burning sensation did not occur during entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094726 -  ..
094727 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094728 - ring toe in combination with dressing for Tailor's bunion, and used on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094729 - right foot little toe and ring toe.  Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094731 -  ..
094732 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094733 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094734 - reported on 171229 1010. ref SDS 76 JI6K  Probably don't need this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094735 - now.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094737 -  ..
094738 - Plantar plate right foot injury - possibly pain level 2 about halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094739 - up Crystal Ranch Road for .25 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094741 -  ..
094742 - Metatarsalgia right foot - possibly pain level 2 about half way up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094743 - Crystal Ranch Road for .25 miles, first flare up since 180521, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094744 - above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094746 -  ..
094747 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094748 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094749 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094750 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094751 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094752 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094753 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094754 - gel pad with white tape.  This worked well until mile 10, then pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094755 - level 2 last mile of hike.  After hike applied Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094756 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094758 -  ..
094759 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094760 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094761 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094762 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094763 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094764 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094765 - contour, per above. ref SDS 0 SPRT  Then today, applied protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094766 - pad with white tape.  This worked well entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094768 -  ..
094769 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094770 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094771 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094772 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094773 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094774 - 268M, applied protective gel pad wrapped with white tape today.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094775 - level 0 entire hike with felt/wool cloth strip wrapped around toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094776 - Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094777 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094779 -  ..
094780 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094781 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094783 -  ..
094784 - Tailor's Bunion left foot - created new custom cushion protection pad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094785 - planned yesterday, per above. ref SDS 0 SXPV  Replaced the one created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094786 - by Doctor Tang in Podiatry at VAMCSF on 180525 1230. ref SDS 91 B49K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094787 - After applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094788 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094789 - 1230. ref SDS 91 268M  Increased size of opening, because Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094790 - Bunion seems bigger now.  Worked well, pain level 1 - 3 most of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094792 -  ..
094793 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094794 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094795 - low, calfs pain level 0.  Left foot tailor's bunion pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094796 - during initial .5 miles, then subsided.  Time to 1.25 miles 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094797 - minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094798 - Right foot plantar plate injury pain level 0.  Mile 2 no evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094799 - burning sensation ball right of foot, possibly because today used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094800 - felt/wool cloth strip wrapped between toes for cushioning.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094801 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094802 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094803 - South Side to hike against Eastbound traffic flow.  Only slight breeze                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094804 - today.  Maintain slow pace due left foot Tailor's Bunion pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094805 - Time mile 4.25 69 minutes.  Continuing on Ygnacio Valley Road mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094806 - mile 4.75 pain level 0, so turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094807 - Crystal Ranch Road.  Good pace going 1 mile uphill.  About half way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094808 - up, pain level 1 - 2 right foot possibly plantar plate injury or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094809 - metatarsalgia, lasted about .25 miles then subsided and did no recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094810 - Left foot tailor's bunion pain level 1.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094811 - flat ground.  Going down steep hill toward Rolling Woods Way slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094812 - pace both knees pain level 0.  May indicate PRP treatments on 170726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094813 - and on 180105, still effective preventing osteoarthritis.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094814 - feel feet pressing on front of shoes wearing only new smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094815 - received on 180530 0726, ref SDS 92 9O6X, and not wearing 2nd pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094816 - Thorlow wool socks over smartwool socks, as done previously, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094817 - above. ref SDS 0 SRPR  Turned onto Rolling Woods Way.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094818 - hill increased pace for .3 miles with pain level 0 - no right leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094819 - hamstring, no burning sensation right foot, metatarsalgia right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094820 - pain level 0, both knees pain level 0, left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094821 - level 0.  Going downhill slowed pace.  Pain level 0 left knee and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094822 - level 0 right knee.  Pain level 0 right foot plantar plate injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094823 - Left foot tailor's bunion pain level 1.  Left foot callus pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094824 - 1, right foot callus pain level 0.  Did not feel toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094825 - pressing on front of shoes.  Turned corner onto Pine Hollow and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094826 - 1 mile on flat ground.  Turned corner onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094827 - 1 mile back to Crystal Ranch Road.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094828 - uphill to Cowell.  Left foot big toe callus pain level 2, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094829 - corner and hiked 1 mile back to Treat.  Turned corner onto Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094830 - hiked .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094832 -  ..
094833 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094834 - Lunch - rice hamburger celery onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094835 - Dinner - macaroni celery onion egg mushrooms, ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094837 -  ..
094838 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094842 -         ..
094843 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094844 -  156.  180605 0735..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094845 -               1010....BP HR with Diff........................................... 127  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094846 -               1015....BP HR with Diff........................................... 128  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094847 -               1020....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094848 -               1020... 20 14780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094849 -               1020... 80 77760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094850 -               1020....1000  71000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094851 -               1020....200    7200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094852 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094853 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094854 -          * cr 1255....miles...........  11.0  22.00  171  344 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094855 -               1620....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094856 -               1630....BP HR with Diff........................................... 105  78 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094857 -               1635....BP HR with Diff........................................... 112  78  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094858 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094859 -               1720... 40 33360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094860 -               1920............ 10 10260  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094861 -               1920............ 10  9850  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094862 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094863 -               2040... 40 13500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094864 -               2110... 1000 1153000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094865 -               2150... 80 77840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094867 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094869 -  ..
094870 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094871 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094873 -  ..
094874 - Blood pressure good today, heart rate okay after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094875 - gastrointestinal drugs last night, and after hiking yesterday.  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094876 - heart rate okay after 11 miles hike today, with temperatue over 70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094878 -  ..
094879 - Weight - 181 after hiking 12 miles yesterday, and before hiking; lost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094880 - 4 pounds hiking 11 miles with pace and temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094882 -  ..
094883 - Pain medication - acetaminophen and ibuprofen.  Pain level 0 - 2 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094884 - foot tailor's bunion 15% of route.  Both knees pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094885 - hike.  Right foot plantar plate tear pain level 2 and/or metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094886 - pain level 2 for about .25 miles hiking up Crystal Ranch Road - this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094887 - ended, and then recurred at end of hike downhill on Cowell for about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094888 - .25 miles again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094890 -  ..
094891 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094892 - ref SDS 92 9O6X  Applied felt/wool cloth strip woven between toes both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094893 - feet.  Burning sensation did not occur during entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094895 -  ..
094896 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094897 - ring toe in combination with dressing for Tailor's bunion, and used on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094898 - right foot little toe and ring toe.  Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094900 -  ..
094901 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094902 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094903 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094904 - foot felt going uphill on Crystal Ranch Road for only few hundred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094905 - yards, and felt again going donwhill on Cowell last mile of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094907 -  ..
094908 - Plantar plate right foot injury - possibly pain level 2 about halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094909 - up Crystal Ranch Road for .25 miles, and again going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094910 - Cowell for few hundred yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094912 -  ..
094913 - Metatarsalgia right foot - possibly pain level 2 about half way up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094914 - Crystal Ranch Road for .25 miles, first flare up since 180521, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094915 - above. ref SDS 0 NU6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094917 -  ..
094918 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094919 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094920 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094921 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094922 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094923 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094924 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094925 - gel pad with white tape.  This worked well until mile 10, then pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094926 - level 2 last mile of hike.  After hike applied Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094927 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094929 -  ..
094930 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094931 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094932 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094933 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094934 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094935 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094936 - contour, per above. ref SDS 0 SPRT  Then today, applied protective gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094937 - pad with white tape.  This worked well entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094939 -  ..
094940 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094941 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094942 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094943 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094944 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094945 - 268M, applied protective gel pad wrapped with white tape today.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094946 - level 0 entire hike with felt/wool cloth strip wrapped around toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094947 - Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094948 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094950 -  ..
094951 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094952 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094954 -  ..
094955 - Tailor's Bunion left foot - created new custom cushion protection pad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094956 - planned yesterday, per above. ref SDS 0 SXPV  Replaced the one created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094957 - by Doctor Tang in Podiatry at VAMCSF on 180525 1230. ref SDS 91 B49K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094958 - Increased size of opening, because Tailor's Bunion seems bigger now.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094959 - Also applying Ammonium Lactate 12% past few days, as prescribed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094960 - Doctor Tang during the meeting in Podiatry at VAMCSF on 180525 1230.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094961 - ref SDS 91 268M  Worked well, pain level 1 - 2 most of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094963 -  ..
094964 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094965 - ef SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094966 - kay, calfs pain level 0.  Left foot tailor's bunion pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094967 - uring initial .5 miles, then subsided.  Time to 1.25 miles 18 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094968 - Maintained pace on Clayton hiking on concrete sidewalk.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094969 - plantar plate injury pain level 0.  Mile 2 no evident burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094970 - sensation ball right of foot, possibly because today used felt/wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094971 - cloth strip wrapped between toes for cushioning.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094972 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then witched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094973 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094974 - hike against Eastbound traffic flow.  Strong Westerly headwind slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094975 - pace.  Time mile 4.25 69 minutes.  Continuing on Ygnacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094976 - there was a serious traffic accident across the street at corner Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094977 - Hollow and in my hiking lane, which is a right turn lane for about 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094978 - yards.  Vehicle was overturned off the road along the guardrail.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094979 - Pickup truck bed totally smashed.  This occurred only minutes before I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094980 - arrived, so could have been involved if I had not stopped at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094981 - Texaco station to use the restroom.  There were many police cars,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094982 - several ambulances and emergency firetrucks at the scene.  Since this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094983 - was commute traffic vehicles were backed up for a mile.  People had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094984 - exited their behicles to be interviewed by authorities, and see the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094985 - accident scene.  Police allowed me to walk through the accident scene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094986 - continuing the hike.  Continuing on Ygnacio Valley Road West several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094987 - people in backed up traffic asked what was happening, if there were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094988 - detour routes available?  Some asked how many miles I hike every day?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094989 - Finally, reaching mile 4.75 pain level 0, so turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094990 - 4-mile oop on Crystal Ranch Road.  Good pace going 1 mile uphill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094991 - About alf way up, pain level 1 - 2 right foot possibly plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094992 - injury r metatarsalgia, lasted about .25 miles then subsided and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094993 - no ecur.  Left foot tailor's bunion pain level 1.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094994 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094995 - Woods Way slowed pace.  Left knee pain level 2.  May indicate PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094996 - treatments on 70726, and on 180105, beginning to become less effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094997 - preventing osteoarthritis.  Did not feel feet pressing on front of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094998 - shoes wearing only new smartwool ocks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094999 - ref SDS 92 9O6X, and not wearing 2nd air Thorlow wool socks over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095000 - smartwool socks, as done previously, per bove. ref SDS 0 SRPR  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095001 - onto Rolling Woods Way.  Going up steep hill increased pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095002 - miles with pain level 0 left and right knees.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095003 - metatarsalgia pain level 2, left foot tailor's bunion pain evel 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095004 - Going downhill slowed pace.  Pain level 2 left knee and pain evel 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095005 - right knee.  Pain level 0 right foot plantar plate injury.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095006 - tailor's bunion pain level 1.  Left foot callus pain level 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095007 - foot callus pain level 0.  Turned corner onto Pine Hollow and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095008 - mile on flat ground.  Turned corner onto Ygnacio Valley Road.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095009 - like miracle that accident scene was completely recovered.  Traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095010 - moving normally and no emergency - police, firetrucks.  Overturned car                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095011 - was removed and the smashed truck were both gone.  Hiked 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095012 - to Crystal Ranch Road.  Continued on Ygnacio Valley Road uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095013 - Cowell.  Left foot big toe callus pain level 2, and left knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095014 - level 2, so turned corner and hiked 1 mile back to Treat.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095015 - corner onto Treat and hiked .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095017 -  ..
095018 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095019 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095020 - Dinner - macaroni celery asparagus onion egg mushrooms, cookie ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095022 -  ..
095023 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095028 -         ..
095029 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095030 -  157.  180606 0635..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095031 -               0650....BP HR with Diff........................................... 156  88  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095032 -               0655....BP HR with Diff........................................... 131  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095033 -               0700....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095034 -               0700... 20 14800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095035 -               0700... 80 77920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095036 -               0700....1000  72000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095037 -               0700....200    7400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095038 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095039 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095040 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095041 -               1700... 40 33400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095042 -             1 0000............ 10 10260  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095043 -             1 0000............ 10  9850  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095044 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095045 -               2040... 40 13540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095046 -               2110... 1000 1154000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095047 -               2150... 80 78000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095049 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095051 -  ..
095052 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095053 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095055 -  ..
095056 - Blood pressure suddenly very high today, heart rate good after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095057 - gastrointestinal drugs last night, and after hiking yesterday.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095058 - not hike today; research found athletes sometimes register high blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095059 - pressure with low heart rate.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095061 -  ..
095062 - Weight - 181 after hiking 11 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095064 -  ..
095065 - Hiking - none, rest left knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095067 -  ..
095068 - Breakfast - eggs asparagus cheese onion toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095069 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095070 - Dinner - macaroni celery tuna onion egg mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095072 -  ..
095073 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095078 -         ..
095079 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095080 -  158.  180607 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095081 -               1100....BP HR with Diff........................................... 129  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095082 -               1105....BP HR with Diff........................................... 123  74  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095083 -               1110....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095084 -               1110... 20 14820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095085 -               1110... 80 78080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095086 -               1110....1000  73000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095087 -               1110....200    7600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095088 -               1110....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095089 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095090 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095091 -          * cr 1235....miles...........  11.0  33.00  177  521 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095092 -               1555....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095093 -               1605....BP HR with Diff...........................................  98  72  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095094 -               1610....BP HR with Diff........................................... 103  75  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095095 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095096 -               1710... 40 33440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095097 -               1920............ 10 10270  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095098 -               1940............ 10  9860  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095099 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095100 -               2050... 40 13580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095101 -               2120... 1000 1155000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095102 -               2230... 80 78160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095104 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095106 -  ..
095107 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095108 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095110 -  ..
095111 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095112 - gastrointestinal drugs last night, and despite BP elevated yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095113 - and not hiking yesterday. per above. ref SDS 0 R25G  BP and heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095114 - okay after 11 miles hike today, with temperatue over 70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095116 -  ..
095117 - Weight - 183 after no hiking yesterday, and before hiking; lost 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095118 - pounds hiking 11 miles with pace and mild temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095120 -  ..
095121 - Pain medication - acetaminophen and ibuprofen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095122 - Chondroitin (first time since 170726, reported in prior case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095123 - 160101 0700. ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095124 - entire route.  Both knees pain level 0 entire hike.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095125 - plantar plate tear pain level 0 entire hike.  Right foot mild burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095126 - sensation and metatarsalgia pain level 1 beginning about mile 3 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095127 - parking lot for Lucky grocery store, for about .25 miles.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095128 - recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095130 -  ..
095131 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095132 - ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095133 - toes both feet.  Mild burning sensation occurred about mile 3 hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095134 - through parking lot for Lucky grocery store.  Subsided before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095135 - reaching Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095137 -  ..
095138 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095139 - ring toe and little toe without dressing for Tailor's bunion, and used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095140 - on right foot little toe and ring toe.  Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095142 -  ..
095143 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095144 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095145 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095146 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095148 -  ..
095149 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095151 -  ..
095152 - Metatarsalgia right foot - pain level 1 on Clayton at mile 3 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095153 - parking lot of Lucky grocery store, and ended before reaching Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095154 - Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095156 -  ..
095157 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095158 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095159 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095160 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095161 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095162 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095163 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095164 - gel pad with white tape.  This worked well until mile 10, then pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095165 - level 1 last mile of hike.  After hike applied Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095166 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095168 -  ..
095169 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095170 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095171 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095172 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095173 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095174 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095175 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095176 - gel pad with white tape.  This worked well entire hike.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095177 - applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095179 -  ..
095180 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095181 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095182 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095183 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095184 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095185 - 268M, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095186 - Pain level 0 entire hike without felt/wool cloth strip wrapped around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095187 - toes.  Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095188 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095190 -  ..
095191 - Left hip - pain level 0 entire route today, did not recur from 180521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095192 - per above. ref SDS 0 FW5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095194 -  ..
095195 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095196 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095197 - Applying Ammonium Lactate 12% beginning few days before 180605, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095198 - above, ref SDS 0 TQVR, as prescribed by Doctor Tang during the meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095199 - in Podiatry at VAMCSF on 180525 1230, ref SDS 91 268M, seems to have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095200 - shrunk Tailor's Bunion and reduced pain sensitivity.  This worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095201 - - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095203 -  ..
095204 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095205 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095206 - okay, calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095207 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095208 - Clayton hiking on concrete sidewalk.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095209 - pain level 0.  Mile 2 no evident burning sensation ball right of foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095210 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095211 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095212 - North to South Side to hike against Eastbound traffic flow.  Strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095213 - Westerly headwind today, slowed  pace.  Time mile 4.25 69 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095214 - Continuing on Ygnacio Valley Road 1 mile against strong wind, at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095215 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095216 - Ranch Road.  Good pace going 1 mile uphill against strong wind.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095217 - Left foot tailor's bunion pain level 0.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095218 - flat ground.  Going down steep hill toward Rolling Woods Way slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095219 - pace both knees pain level 0, possibly because took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095220 - Chondroitin before starting hike, per above. ref SDS 0 XT6I  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095221 - indicate PRP treatments on 170726, and on 180105, not as effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095222 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095223 - feet, indicating effective protection wearing only new smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095224 - received on 180530 0726, ref SDS 92 9O6X, and not wearing 2nd pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095225 - Thorlow wool socks over smartwool socks, per above. ref SDS 0 SRPR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095226 - Turned onto Rolling Woods Way.  Going up steep hill increased pace for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095227 - .3 miles with pain level 0 - no right leg hamstring, no burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095228 - sensation right foot, metatarsalgia right foot pain level 0, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095229 - knees pain level 0, left foot tailor's bunion pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095230 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095231 - knee.  Pain level 0 right foot plantar plate injury.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095232 - tailor's bunion pain level 0.  Left foot callus pain level 1, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095233 - foot callus pain level 0.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095234 - increased pace hiked 1 mile on flat ground.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095235 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095236 - strong wind.  Continued on Ygnacio Valley Road uphill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095237 - Headwind strong, so turned corner and hiked 1 mile back to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095238 - Turned corner onto Treat and hiked .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095240 -  ..
095241 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095242 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095243 - Dinner - macaroni asparagus celery onion egg mushrooms, cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095245 -  ..
095246 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095251 -         ..
095252 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095253 -  159.  180608 0610..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095254 -               0620....BP HR with Diff........................................... 122  72  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095255 -               0625....BP HR with Diff........................................... 120  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095256 -               0630....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095257 -               0630... 20 14840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095258 -               0630... 80 78240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095259 -               0900....1000  74000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095260 -               0900....200    7800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095261 -               0900....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095262 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095263 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095264 -          * cr 1200....miles...........  11.0  44.00  167  688 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095265 -               1530....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095266 -               1545....BP HR with Diff........................................... 103  77 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095267 -               1545....BP HR with Diff........................................... 112  72  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095268 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095269 -               1650... 40 33440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095270 -             1 0000............ 10 10270  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095271 -             1 0000............ 10  9860  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095272 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095273 -               2045... 40 13520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095274 -               2120... 1000 1156000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095275 -               2310... 80 78320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095277 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095279 -  ..
095280 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095281 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095283 -  ..
095284 - Blood pressure very good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095285 - gastrointestinal drugs last night, and after hiking yesterday. per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095286 - above. ref SDS 0 XT6I  BP and heart rate okay after 11 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095287 - today, with temperatue over 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095289 -  ..
095290 - Weight - 182 after hiking yesterday, and before hiking today.  Lost 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095291 - pounds hiking 11 miles with fast pace and high temperature,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095293 -  ..
095294 - Pain medication - acetaminophen and ibuprofen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095295 - Chondroitin (returning since 170726, reported in prior case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095296 - 160101 0700. ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095297 - entire route.  Both knees pain level 0 entire hike.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095298 - plantar plate tear pain level 0 entire hike.  Right foot mild burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095299 - sensation and metatarsalgia pain level 1 beginning about mile 1.5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095300 - Clayton past McDonald's, for about .25 miles.  Did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095302 -  ..
095303 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095304 - ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095305 - toes both feet.  No burning sensation entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095307 -  ..
095308 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095309 - ring toe and little toe without dressing for Tailor's bunion, and used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095310 - on right foot little toe and ring toe.  Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095312 -  ..
095313 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095314 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095315 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095316 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095318 -  ..
095319 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095321 -  ..
095322 - Metatarsalgia right foot - pain level 1 beginning about mile 1.5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095323 - Clayton past McDonald's, for about .25 miles.  Did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095325 -  ..
095326 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095327 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095328 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095329 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095330 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095331 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095332 - contour, per above. ref SDS 0 SPRT  Today, applied protective gel pad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095333 - with white tape.  This worked well entire hike pain level 0.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095334 - hike applied Ammonium Lactate 12% again.  Feels like callus building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095335 - back, so tomorrow will have to shave it down again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095337 -  ..
095338 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095339 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095340 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095341 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095342 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095343 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095344 - contour, per above. ref SDS 0 SPRT  Today, applied protective gel pad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095345 - with white tape.  This worked well entire hike pain level 0.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095346 - hike applied Ammonium Lactate 12% again.  Feels like callus building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095347 - back, so tomorrow will have to shave it down again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095349 -  ..
095350 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095351 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095352 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095353 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095354 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095355 - 268M, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095356 - Pain level 0 entire hike without felt/wool cloth strip wrapped around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095357 - toes.  Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095358 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095360 -  ..
095361 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095362 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095363 - This worked well - pain level 0 entire hike.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095364 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095365 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095367 -  ..
095368 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095369 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095370 - good, calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095371 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095372 - Clayton hiking on concrete sidewalk.  Metatarsalgia pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095373 - beginning about mile 1.5 on Clayton past McDonald's, for about .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095374 - miles.  Did not recur.  Right foot plantar plate injury pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095375 - No evident burning sensation ball right of foot entire hike.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095376 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095377 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095378 - South Side to hike against Eastbound traffic flow.  Mild Westerly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095379 - headwind today, maintained fast pace.  Time mile 4.25 66 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095380 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095381 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095382 - pace going 1 mile uphill aided by mild tailwind.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095383 - tailor's bunion pain level 0.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095384 - ground.  Going down steep hill toward Rolling Woods Way slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095385 - both knees pain level 0, possibly because took Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095386 - before starting hike, per above. ref SDS 0 3G8J  May indicate PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095387 - treatments on 170726, and on 180105, not as effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095388 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095389 - indicating effective protection wearing new smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095390 - on 180530 0726, ref SDS 92 9O6X, and not wearing 2nd pair Thorlow wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095391 - socks over smartwool socks, per above. ref SDS 0 SRPR  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095392 - Rolling Woods Way.  Going up steep hill felt strong - increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095393 - for .3 miles with pain level 0 - no right leg hamstring, no burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095394 - sensation right foot, metatarsalgia right foot pain level 0, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095395 - knees pain level 0, left foot tailor's bunion pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095396 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095397 - knee.  Pain level 0 right foot plantar plate injury.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095398 - tailor's bunion pain level 0.  Left foot callus pain level 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095399 - foot callus pain level 0.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095400 - increased pace hiked 1 mile on flat ground.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095401 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095402 - stronger wind.  Continued on Ygnacio Valley Road uphill to Cowell at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095403 - fast pace.  Car pulled up and drove along side for about 100 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095404 - Woman driver lowered the passenger window and said something.  Shouted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095405 - back:  "I'm sorry, cannot hear you because of the wind." She then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095406 - shouted something like: "You inspire me everyday hiking this route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095407 - Amazing!!"  I smiled and waved.  She drove off.  Felt weak from fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095408 - pace against rising headwind, so turned corner and hiked 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095409 - to Treat.  Turned corner onto Treat and hiked .5 miles home.  Very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095410 - good hike with fast pace and no pain in feet and knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095412 -  ..
095413 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095414 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095415 - Dinner - rice hamburger brocolli celery onion tomato avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095416 - cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095418 -  ..
095419 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095423 -         ..
095424 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095425 -  160.  180609 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095426 -               0830....BP HR with Diff........................................... 120  72  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095427 -               0835....BP HR with Diff........................................... 116  71  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095428 -               0840....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095429 -               0840... 20 14860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095430 -               0840... 80 78400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095431 -               0840....1000  75000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095432 -               0840....200    8000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095433 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095434 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095435 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095436 -          * cr 1120....miles...........  11.0  55.00  172  860 minutes temp  69 strong Westerly winds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095437 -               1445....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095438 -               1450....BP HR with Diff........................................... 102  75 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095439 -               1455....BP HR with Diff........................................... 102  73  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095440 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095441 -               1640... 40 33480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095442 -               2020............ 10 10280  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095443 -               2020............ 10  9870  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095444 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095445 -               2130... 40 13560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095446 -               2150... 1000 1157000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095447 -               2340... 80 78480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095449 - ** cr - hiked Crystal Ranch Road 4 mile loop today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095451 -  ..
095452 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095453 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095455 -  ..
095456 - Blood pressure very good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095457 - gastrointestinal drugs last night, and after hiking 11 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095458 - pace yesterday. per above. ref SDS 0 3G8J  BP and heart rate okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095459 - after 11 mile hike today, with temperatue under 70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095461 -  ..
095462 - Weight - 181 after hiking yesterday, and before hiking today.  Lost 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095463 - pounds hiking 11 miles with fast pace and cool temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095465 -  ..
095466 - Pain medication - acetaminophen and ibuprofen and forgot to take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095467 - Glucosamine Chondroitin (returning since 170726, reported in prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095468 - case study on 160101 0700. ref SDS 37 RYXS  Pain level 0 left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095469 - tailor's bunion entire route.  Both knees pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095470 - Right foot plantar plate tear pain level 0 entire hike.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095471 - mild burning sensation and metatarsalgia pain level 1 beginning about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095472 - mile 3 on Clayton for about .25 miles.  Did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095474 -  ..
095475 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095476 - ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095477 - toes both feet.  Mild burning sensation about mile 3 for .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095478 - and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095480 -  ..
095481 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095482 - ring toe and little toe without dressing for Tailor's bunion, and used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095483 - on right foot little toe and ring toe.  Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095485 -  ..
095486 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095487 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095488 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095489 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095491 -  ..
095492 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095494 -  ..
095495 - Metatarsalgia right foot - pain level 1 beginning about mile 3 for .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095496 - miles on Clayton.  Did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095498 -  ..
095499 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095500 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095501 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095502 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095503 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095504 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095505 - contour, per above. ref SDS 0 SPRT  Today, applied protective gel pad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095506 - with white tape.  This worked well entire hike pain level 0.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095507 - hike applied Ammonium Lactate 12% again.  Feels like callus building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095508 - back, so shaved down with Egg Ped tool and emory paper again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095510 -  ..
095511 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095512 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095513 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095514 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095515 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095516 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095517 - contour, per above. ref SDS 0 SPRT  Today, applied protective gel pad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095518 - with white tape.  This worked well entire hike pain level 0.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095519 - hike applied Ammonium Lactate 12% again.  Feels like callus building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095520 - back, so shaved down with Egg Ped tool and emory paper again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095522 -  ..
095523 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095524 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095525 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095526 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095527 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095528 - 268M, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095529 - Pain level 0 entire hike without felt/wool cloth strip wrapped around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095530 - toes.  Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095531 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095533 -  ..
095534 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095535 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095536 - This worked well - pain level 0 entire hike.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095537 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095538 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095540 -  ..
095541 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095542 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095543 - okay, calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095544 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095545 - Clayton hiking on concrete sidewalk.  Metatarsalgia pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095546 - beginning about mile 1.5 on Clayton past McDonald's, for about .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095547 - miles.  Did not recur.  Right foot plantar plate injury pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095548 - No evident burning sensation ball right of foot entire hike.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095549 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095550 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095551 - South Side to hike against Eastbound traffic flow.  Strong Westerly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095552 - headwind today, slowed pace.  Time mile 4.25 69 minutes.  Continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095553 - on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095554 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095555 - 1 mile uphill aided by tailwind.  Left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095556 - level 0.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095557 - hill toward Rolling Woods Way slowed pace both knees pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095558 - possibly because took Glucosamine Chondroitin before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095559 - per above. ref SDS 0 3G8J  May indicate PRP treatments on 170726, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095560 - on 180105, not as effective preventing osteoarthritis.  No blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095561 - and pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095562 - wearing new smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095563 - and not wearing 2nd pair Thorlow wool socks over smartwool socks, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095564 - above. ref SDS 0 SRPR  Turned onto Rolling Woods Way.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095565 - hill felt strong - increased pace for .3 miles with pain level 0 - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095566 - right leg hamstring, no burning sensation right foot, metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095567 - right foot pain level 0, both knees pain level 0, left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095568 - bunion pain level 0.  Going downhill slowed pace.  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095569 - knee and pain level 0 right knee.  Pain level 0 right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095570 - plate injury.  Left foot tailor's bunion pain level 0.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095571 - callus pain level 0, right foot callus pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095572 - onto Pine Hollow and increased pace hiked 1 mile on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095573 - Turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095574 - Ranch Road against stronger wind.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095575 - uphill to Cowell at fast pace.  Felt weak from fast pace against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095576 - rising headwind, so turned corner and hiked 1 mile back to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095577 - Turned corner onto Treat and hiked .5 miles home.  Very good hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095578 - fast pace and no pain in feet and knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095580 -  ..
095581 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095582 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095583 - Dinner - sandwich balogna cheese onion tomato, avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095584 - onion macaroni celery, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095586 -  ..
095587 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095591 -         ..
095592 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095593 -  161.  180610 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095594 -               0900....BP HR with Diff........................................... 119  70  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095595 -               0905....BP HR with Diff........................................... 129  71  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095596 -               0945....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095597 -               0950... 20 14880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095598 -               0950... 80 78560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095599 -               0950....1000  76000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095600 -               0950....200    8200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095601 -               0950....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095602 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095603 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095604 -          * cr 1250....miles...........  11.0  66.00  171 1031 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095605 -               1610....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095606 -               1615....BP HR with Diff........................................... 109  69  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095607 -               1455....BP HR with Diff........................................... 110  71  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095608 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095609 -               1650... 40 33520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095610 -             1 0000............ 10 10280  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095611 -             1 0000............ 10  9870  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095612 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095613 -               2130... 40 13600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095614 -               2150... 1000 1158000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095615 -               2340... 80 78640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095617 -             ..
095618 -            [On 180611 1052 letter to medical team at VAMCSF and Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095619 -            Tucker reports medical care for feet and knees by VAMCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095620 -            and Doctor Tucker (PRP) has enabled increased hiking, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095621 -            has lowered blood pressure and heart rate, ref SDS 93 VL51,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095622 -            and improved vision. ref SDS 93 VL5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095624 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095626 -  ..
095627 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095628 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095630 -  ..
095631 - Blood pressure very good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095632 - gastrointestinal drugs last night, and after hiking 11 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095633 - pace yesterday. per above. ref SDS 0 4M5L  BP and heart rate poor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095634 - after 11 mile hike today, with temperatue over  80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095636 -  ..
095637 - Weight - 183 after hiking yesterday, and before hiking today.  Lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095638 - pounds hiking 11 miles with fast pace and hot temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095640 -  ..
095641 - Pain medication - acetaminophen and ibuprofen and took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095642 - Chondroitin until PRP injection treatment scheduled on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095643 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095644 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095645 - Both knees pain level 0 entire hike.  Right foot plantar plate tear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095646 - pain level 0 entire hike.  Right foot mild burning sensation and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095647 - metatarsalgia pain level 1 beginning about mile 1 on Clayton for about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095648 - 3 miles.  Did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095650 -  ..
095651 - Socks wearing 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095652 - ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095653 - toes both feet.  Mild burning sensation about mile 3 for .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095654 - and did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095656 -  ..
095657 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095658 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095659 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095660 - Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095662 -  ..
095663 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095664 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095665 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095666 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095668 -  ..
095669 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095671 -  ..
095672 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095674 -  ..
095675 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095676 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095677 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095678 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095679 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095680 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095681 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095682 - gel pad with white tape.  This worked well entire hike pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095683 - After hike applied Ammonium Lactate 12% again.  Feels like callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095684 - building back, so shaved down with Egg Ped tool and emory paper again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095686 -  ..
095687 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095688 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095689 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095690 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095691 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095692 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095693 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095694 - gel pad with white tape.  This worked well entire hike pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095695 - After hike applied Ammonium Lactate 12% again.  Feels like callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095696 - building back, so shaved down with Egg Ped tool and emory paper again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095698 -  ..
095699 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095700 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095701 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095702 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095703 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095704 - 268M, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095705 - Pain level 0 entire hike without felt/wool cloth strip wrapped around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095706 - toes.  Worked well today hiking 11 miles.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095707 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095709 -  ..
095710 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095711 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095712 - This worked well - pain level 0 entire hike.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095713 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095714 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095716 -  ..
095717 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095718 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095719 - okay, calfs pain level 2.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095720 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095721 - Clayton hiking on concrete sidewalk.  Metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095722 - entire hike.  Burning sensation right foot beginning about mile 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095723 - on Clayton for about 2 miles.  Did not recur.  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095724 - plate injury pain level 0.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095725 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095726 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095727 - Eastbound traffic flow.  Minimal headwind today, so fast pace.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095728 - mile 4.25 66 minutes.  Continuing on Ygnacio Valley Road 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095729 - mile 4.75 pain level 0, so turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095730 - Crystal Ranch Road.  Good pace going 1 mile uphill.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095731 - tailor's bunion pain level 0.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095732 - ground.  Going down steep hill toward Rolling Woods Way slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095733 - both knees pain level 0, possibly because took Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095734 - before starting hike, per above. ref SDS 0 3G8J  May indicate PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095735 - treatments on 170726, and on 180105, not as effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095736 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095737 - indicating effective protection wearing new smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095738 - on 180530 0726, ref SDS 92 9O6X, and not wearing 2nd pair Thorlow wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095739 - socks over smartwool socks, per above. ref SDS 0 SRPR  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095740 - Rolling Woods Way.  Going up steep hill felt strong - increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095741 - for .3 miles with pain level 0 - no right leg hamstring, no burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095742 - sensation right foot, metatarsalgia right foot pain level 0, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095743 - knees pain level 0, left foot tailor's bunion pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095744 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095745 - knee.  Pain level 0 right foot plantar plate injury.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095746 - tailor's bunion pain level 0.  Left foot callus pain level 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095747 - foot callus pain level 0.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095748 - increased pace hiked 1 mile on flat ground.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095749 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095750 - Continued on Ygnacio Valley Road uphill to Cowell at fast pace.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095751 - weak from fast pace, so turned corner and hiked 1 mile back to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095752 - Turned corner onto Treat and hiked .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095754 -  ..
095755 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095756 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095757 - Dinner - eggs asparagus onion cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095759 -  ..
095760 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095764 -         ..
095765 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095766 -  162.  180611 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095767 -               0930....BP HR with Diff........................................... 122  73  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095768 -               0935....BP HR with Diff........................................... 122  77  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095769 -               0940....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095770 -               0950... 20 14900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095771 -               0950... 80 78720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095772 -               0950....1000  77000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095773 -               0950....200    8400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095774 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095775 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095776 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095777 -          * cr 1150....miles...........  11.0  11.00  173  173 minutes temp  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095778 -               1510....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095779 -               1515....BP HR with Diff........................................... 104  70 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095780 -               1520....BP HR with Diff........................................... 101  72 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095781 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095782 -               1720... 40 33560 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095783 -               2100............ 10 10290  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095784 -               2100............ 10  9880  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095785 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095786 -               2130... 40 13640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095787 -               2150... 1000 1159000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095788 -               2340... 80 78800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095790 -  ..
095791 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095793 -  ..
095794 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095795 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095797 -  ..
095798 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095799 - gastrointestinal drugs last night, and after hiking 11 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095800 - pace yesterday. per above. ref SDS 0 Q76J  BP and heart rate okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095801 - after 11 mile hike today, with temperatue over  80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095803 -  ..
095804 - Weight - 181 after hiking yesterday, and before hiking today.  Lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095805 - pounds hiking 11 miles with fast pace and hot temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095807 -  ..
095808 - Pain medication - acetaminophen and ibuprofen and forgot again to take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095809 - Glucosamine Chondroitin until PRP injection treatment scheduled on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095810 - 180620 (returning since 170726, reported in prior case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095811 - 0700. ref SDS 37 RYXS  Pain level 2 left foot tailor's bunion 20% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095812 - route.  Right knee pain level 0 entire hike.  Left knee pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095813 - 20% of route.  Right foot plantar plate tear pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095814 - Right foot mild burning sensation and metatarsalgia pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095815 - beginning about mile 1 on Clayton for about 3 miles.  Did not recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095817 -  ..
095818 - Socks wearing 2 pair Therlow wool socks.  Did not apply felt/wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095819 - cloth strip woven between toes both feet.  Mild burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095820 - about mile 1 for 4 miles, and did not recur.  Tailor's Bunion left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095821 - foot pain level 2 20% of route.  Calluses big toes right foot and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095822 - foot pain level 2 10% of route.  Disappointing may buy another 10 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095823 - smartwool socks, so can do 20 hikes between washes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095825 -  ..
095826 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095827 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095828 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095829 - Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095831 -  ..
095832 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095833 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095834 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095835 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095837 -  ..
095838 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095840 -  ..
095841 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095843 -  ..
095844 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095845 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095846 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095847 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095848 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095849 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095850 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095851 - gel pad with white tape.  Pain level 2 for 10% of hike.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095852 - applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095854 -  ..
095855 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095856 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095857 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095858 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095859 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095860 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095861 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095862 - gel pad with white tape.  Pain level 2 for 10% of hike.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095863 - applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095865 -  ..
095866 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095867 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095868 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095869 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095870 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095871 - 268M, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095872 - Pain level 2 for 20% of hike without Smartwool socks and without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095873 - felt/wool cloth strip wrapped around toes.  Worked well today hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095874 - 11 miles.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095876 -  ..
095877 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095878 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095879 - Pain level 2 for 20% of hike.  Indicates applying Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095880 - has begun curing this injury.  After hike applied again.  But less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095881 - effective wearing Thurlow wools rather than Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095883 -  ..
095884 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095885 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095886 - okay, calfs pain level 1.  Felt pressure in left knee, so remembered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095887 - forgot to take Glucosamine Chondroitin.  Left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095888 - pain level 2 for 20% of hike.  Time to 1.25 miles 18 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095889 - Maintained pace on Clayton hiking on concrete sidewalk.  Metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095890 - pain level 0 entire hike.  Burning sensation right foot beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095891 - about mile 1 on Treat for 4 miles.  Did not recur.  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095892 - plate injury pain level 0.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095893 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095894 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095895 - Eastbound traffic flow.  Minimal headwind today with higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095896 - temeprature, so moderate pace.  Time mile 4.25 68 minutes.  Continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095897 - on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095898 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095899 - 1 mile uphill.  Left foot tailor's bunion pain level 0.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095900 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095901 - Woods Way slowed pace both knees pain level 0, despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095902 - Glucosamine Chondroitin before starting hike, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095903 - 1N9F  May indicate PRP treatments on 170726, and on 180105, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095904 - preventing osteoarthritis.  No blisters and pain level 2 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095905 - feet, indicating less effective protection wearing 2 pair Thurlow wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095906 - socks instead of Smartwool socks received on 180530 0726, ref SDS 92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095907 - 9O6X, Turned onto Rolling Woods Way.  Going up steep hill felt strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095908 - - increased pace for .3 miles with pain level 0 - no right leg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095909 - hamstring, no burning sensation right foot, metatarsalgia right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095910 - pain level 0, both knees pain level 0, left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095911 - level 0.  Going downhill slowed pace.  Pain level 0 left knee and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095912 - level 0 right knee.  Pain level 0 right foot plantar plate injury.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095913 - Left foot tailor's bunion pain level 0.  Left foot callus pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095914 - 2, right foot callus pain level 2.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095915 - increased pace hiked 1 mile on flat ground.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095916 - Ygnacio Valley Road.  Several cars were waiting for traffic light, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095917 - for me to squeeze past along the guardrail.  Woman driving the 2nd car                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095918 - opened passenger window, and said something like: "You are the walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095919 - man.  Our whole family admires seeing you walking all over town."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095920 - Waved and continued, hiking 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095921 - Continued on Ygnacio Valley Road uphill to Cowell at fast pace.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095922 - weak from fast pace, so turned corner and hiked 1 mile back to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095923 - Turned corner onto Treat and hiked .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095925 -  ..
095926 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095927 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095928 - Dinner - rice hamburger brocolli celery onion tomato avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095930 -  ..
095931 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095935 -         ..
095936 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095937 -  163.  180612 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095938 -               0820....BP HR with Diff........................................... 128  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095939 -               0825....BP HR with Diff........................................... 121  74  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095940 -               0830....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095941 -               0830... 20 14920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095942 -               0830... 80 78860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095943 -               0830....1000  78000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095944 -               0830....200    8600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095945 -               0830....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095946 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095947 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095948 -          * cr 0935....miles...........  11.0  22.00  174  347 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095949 -               1310....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095950 -               1315....BP HR with Diff........................................... 109  75 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095951 -               1320....BP HR with Diff........................................... 102  69  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095952 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095953 -               1540... 40 33600 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095954 -             1 0000............ 10 10290  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095955 -             1 0000............ 10  9880  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095956 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095957 -               2010... 40 13680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095958 -               2040... 1000 1160000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095959 -               2120... 80 78840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095961 -  ..
095962 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095964 -  ..
095965 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095966 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095968 -  ..
095969 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095970 - gastrointestinal drugs last night, and after hiking 11 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095971 - pace yesterday. per above. ref SDS 0 1N9F  BP and heart rate okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095972 - after 11 mile hike today, with temperatue over  90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095974 -  ..
095975 - Weight - 183 after hiking yesterday, and before hiking today.  Amazed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095976 - since seemed like did not eat much last night.  Lost 7 pounds hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095977 - 11 miles with fast pace and hot temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095979 -  ..
095980 - Pain medication - acetaminophen and ibuprofen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095981 - Chondroitin until PRP injection treatment scheduled on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095982 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095983 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095984 - Right knee pain level 0 entire hike.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095985 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095986 - foot no burning sensation and metatarsalgia pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095988 -  ..
095989 - Socks - switched back to 1 pair smartwool socks received on 180530                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095990 - 0726. ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095991 - between toes both feet.  Pain level 0 left foot tailor's bunion entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095992 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095993 - foot no burning sensation and metatarsalgia pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095995 -  ..
095996 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095997 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095998 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095999 - Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096001 -  ..
096002 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096003 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096004 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096005 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096007 -  ..
096008 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096010 -  ..
096011 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096013 -  ..
096014 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096015 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096016 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096017 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096018 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096019 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096020 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096021 - gel pad with white tape.  Pain level 0 entire hike.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096022 - applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096024 -  ..
096025 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096026 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096027 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096028 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096029 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096030 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096031 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096032 - gel pad with white tape.  Pain level 0 entire hike.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096033 - applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096035 -  ..
096036 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096037 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096038 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096039 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096040 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096041 - 268M, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096042 - Pain level 0 entire hike with Smartwool socks and without felt/wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096043 - cloth strip wrapped around toes.  Worked well today hiking 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096044 - After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096046 -  ..
096047 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096048 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096049 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096050 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096051 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096053 -  ..
096054 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096055 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096056 - okay, calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096057 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096058 - Clayton hiking on concrete sidewalk.  At mile 1.5 walking through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096059 - Burger King parking lot a woman driving in the opposite direction                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096060 - stopped her car.  She rolled down the window and commended dedication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096061 - to hiking regimen, noting I appear much slimmer now than in years                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096062 - past.  She credited this example for her hiking and feeling well at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096063 - age 82.  Thanked her generous appraisal.  Encouraged her to continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096064 - hiking.  The driver asked why I hike so much?  Explained heart surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096065 - 9 years ago on 091022 0700,. ref SDS 3 PQWU, required increased hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096066 - to treat cardiovascular disease (CVD).  Tests have shown favorable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096067 - results.  After saying goodbye, continuing on Clayton, metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096068 - pain level 0 entire hike.  Burning sensation right foot did not occur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096069 - entire hike after switching back to "Smartwool socks." ref SDS 0 UQXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096070 - Right foot plantar plate injury pain level 0.  Even though still only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096071 - 1010, could feel rising temperature, so slowed pace.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096072 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096073 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096074 - South Side to hike against Eastbound traffic flow.  Minimal headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096075 - today, but higher temeprature, so moderate pace.  Time mile 4.25 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096076 - minutes.  Crossing intersection at corner of Pine Hollow and Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096077 - Valley Road waited for left turn signal to change.  However, driver of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096078 - car waiting to make left turn rolled window down and waved for me to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096079 - cross against red light, so ran across, and waved thank you to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096080 - driver.  Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096081 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096082 - Moderate pace going 1 mile uphill exposed to sun with no shade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096083 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096084 - Rolling Woods Way slowed pace both knees pain level 0 after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096085 - Glucosamine Chondroitin before starting hike, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096086 - UE6G  May indicate PRP treatments on 170726, and on 180105, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096087 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096088 - feet, indicating effective protection wearing 1 pair Smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096089 - received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096090 - Way.  At bottom of hill and before turning onto Rollinw Woods Way, car                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096091 - stopped going in opposite direction.  Passenger rolled down window and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096092 - commended hiking regimen, saying he and his wife (the driver) have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096093 - seen me all over.  Smiled, waved and continued.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096094 - felt strong - increased pace for .3 miles with pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096095 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096096 - knee.  Turned corner onto Pine Hollow and increased pace hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096097 - on flat ground.  Turned corner onto Ygnacio Valley Road.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096098 - back to Crystal Ranch Road.  SUV going East arrived at intersection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096099 - first, but instead of turning right onto Crystal Ranch Road, the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096100 - driver waited for me to cross.  Started to run across the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096101 - intersection.  Another driver in a car behind the SUV honked and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096102 - pulled into the shoulder lane to make the right turn ahead of the 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096103 - car, contrary to street markings designating the curb lane for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096104 - pedestrians only.  It was then headed for me.  I ran right placing the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096105 - parked SUV to block the oncoming 2nd car.  However, the driver of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096106 - SUV swerved her car right to block the passing effort of the car                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096107 - behind her.  The 2nd car then stopped.  Then switched direction, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096108 - ran around both cars.  Both drivers waved, and I did too.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096109 - on Ygnacio Valley Road uphill to Cowell at fast pace.  Felt pulled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096110 - hamstring right leg.  Turned corner onto Cowell and hiked 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096111 - to Treat.  Turned corner onto Treat and hiked .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096113 -  ..
096114 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096115 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096116 - Dinner - sandwich lettuce tomato onon avocado cheese, cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096118 -  ..
096119 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096123 -         ..
096124 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096125 -  164.  180613 0300..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096126 -               0310....BP HR with Diff........................................... 130  81  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096127 -               0315....BP HR with Diff........................................... 137  83  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096128 -               0320....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096129 -               0320... 20 14940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096130 -               0320... 80 79020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096131 -               0320....1000  79000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096132 -               0320....200    8800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096133 -               0320....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096134 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096135 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096136 -          * cr 0535....miles...........  14.0  36.00  217  564 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096137 -               0830....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096138 -               0835....BP HR with Diff........................................... 129  83 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096139 -               1440....BP HR with Diff........................................... 123  75  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096140 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096141 -               1820... 40 33640 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096142 -               2110............ 10 10300  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096143 -               2110............ 10  9890  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096144 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096145 -               2210... 40 13720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096146 -               2230... 1000 1161000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096147 -               2310... 80 79100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096149 -  ..
096150 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096152 -  ..
096153 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096154 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096156 -  ..
096157 - Blood pressure okay and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096158 - gastrointestinal drugs last night, and after hiking 11 miles at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096159 - moderate pace yesterday. per above. ref SDS 0 UE6G  BP and heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096160 - okay after 12 mile hike today, with temperatue over  50.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096162 -  ..
096163 - Weight - 182 after hiking yesterday, and before hiking today.  Seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096164 - conflicting with not eat much yesterday.  Lost 4 pounds hiking 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096165 - miles with fast pace and low temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096167 -  ..
096168 - Pain medication - acetaminophen and ibuprofen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096169 - Chondroitin until PRP injection treatment scheduled on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096170 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096171 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096172 - Right knee pain level 0 entire hike.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096173 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096174 - foot no burning sensation and metatarsalgia pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096176 -  ..
096177 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096178 - ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096179 - toes both feet.  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096180 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096181 - burning sensation and metatarsalgia pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096182 - Calluses pain level 0 both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096184 -  ..
096185 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096186 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096187 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096188 - Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096190 -  ..
096191 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096192 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096193 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096194 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096196 -  ..
096197 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096199 -  ..
096200 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096202 -  ..
096203 - Callus left foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096204 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096205 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096206 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096207 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096208 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096209 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096210 - gel pad with white tape.  Pain level 0 entire hike.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096211 - applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096213 -  ..
096214 - Callus right foot big toe - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096215 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096216 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096217 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096218 - 1230, ref SDS 91 268M, and on 180529 used Egg Ped tool to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096219 - shave callus and emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096220 - contour, per above. ref SDS 0 SPRT  Today, did not apply protective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096221 - gel pad with white tape.  Pain level 0 entire hike.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096222 - applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096224 -  ..
096225 - Blister left foot below big toe developed on 180519, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096226 - ref SDS 0 Y65F - after Doctor Tang cut dead down during meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096227 - Podiatry at VAMCSF on 180525 1230, ref SDS 91 U183, and after applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096228 - Ammonium Lactate 12% the past few days, as prescribed by Doctor Tang                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096229 - during the meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096230 - 268M, did not apply protective gel pad wrapped with white tape today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096231 - Pain level 0 entire hike with Smartwool socks and without felt/wool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096232 - cloth strip wrapped around toes.  Worked well today hiking 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096233 - After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096235 -  ..
096236 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096237 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096238 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096239 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096240 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096242 -  ..
096243 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096244 - Weather was good:  cool with only slight breeze from the ocean.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096245 - traffic at 0530, so could hike on asphault paved street, rather than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096246 - hard concrete sidewalk.  Walking downhill from the VA on 42nd street,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096247 - to Point Lobos both knees pain level 0.  Turned corner onto Point                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096248 - Lobos was able to go faster downhill to Cliff House, than on prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096249 - hikes.  Continued downhill to The Great Highway along the beach.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096250 - Hiked on flat ground along Great Highway to JFK drive.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096251 - onto JFK and maintained good pace going slightly uphill into the park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096252 - Sun already coming up, so could see the road, trees, etc.  Hiked past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096253 - Buffalo compound, but could not see any buffalo.  About mile 4 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096254 - past Lindley Meadow then Hellman Hollow hiking fast without burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096255 - sensation ball of both feet.  Beginning to encounter few bikers and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096256 - runners, going the other way (West) out toward the ocean.  Most are on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096257 - the other side of the street.  On reaching De Young Museum about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096258 - 5 still pain level 0 all issues.  Nearing the end of JFK Drive,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096259 - crossed the street to make left turn onto Stanyon.  Hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096260 - Stanyon several blocks to Fulton; crossed over and hiked few more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096261 - blocks downhill to Paramont street across from Koret Health and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096262 - Recreation Center, part of USF.  Touched the wall at Ann's house;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096263 - turned and started back - still pain level 0.  Morning commute traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096264 - is now steady flow through park on JFK.  Hiked on South side against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096265 - traffic going West.  Passing De Young Museum increased pace - feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096266 - very good.  Nearing the overhead bridge first heard and then saw the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096267 - waterfall had been activated for the day.  Hiked under the bridge at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096268 - 19th Avenue, and past Helman Hollow.  Continuing past the Buffalow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096269 - crossed over to North side of JFK going with traffic.  At the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096270 - intersection of JFK and The Great Highway, there was a San Francisco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096271 - Police Department vehicle waiting for the traffice light to turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096272 - green.  The light was green for me, so ran across at that point.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096273 - ocean was a beautiful sight.  Hiked North toward the Cliff House and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096274 - the hospital.  Maintained pace hiking up the steep hill.  At the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096275 - House turned onto Point Lobos going East.  Hiked this steep part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096276 - the route well.  Got confused and turned at 43rd street.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096277 - Clement, realized the error, and hiked up Clement to 42nd street, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096278 - then turned into the VA hospital campus.  Good hike with good pace all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096279 - the way.  Did warm down hike twice around parking lot in front of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096280 - hospital.  Noticed no evident pain in feet nor knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096282 -  ..
096283 - While waiting to meet with Doctor Thuillier in Orthopedics at 1115,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096284 - hiked 6 flights of stairs twice.  These are the stairs at the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096285 - the facility, leading to the cafeteria.  Seemed to get easier on 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096286 - pass, possibly because blood vessels dilated.  Left knee hurt half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096287 - way up on the 2nd pass.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096289 -  ..
096290 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096291 - Lunch - banana after hike in VA cafeteria                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096292 - Dinner - macaroni celery onion asparagus avocado tomato mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096293 - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096295 -  ..
096296 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096300 -         ..
096301 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096302 -  165.  180614 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096303 -               0640....BP HR with Diff........................................... 132  77  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096304 -               0645....BP HR with Diff........................................... 132  75  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096305 -               0650....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096306 -               0650... 20 14960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096307 -               0650... 80 79180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096308 -               0650....1000  80000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096309 -               0650....200    9000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096310 -               0650....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096311 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096312 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096313 -          * cr 1000....miles...........  11.0  47.00  168  732 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096314 -               1315....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096315 -               1320....BP HR with Diff........................................... 107  74  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096316 -               1325....BP HR with Diff........................................... 106  73  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096317 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096318 -               1750... 40 33680 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096319 -             1 0000............ 10 10300  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096320 -             1 0000............ 10  9890  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096321 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096322 -               2040... 40 13760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096323 -               2110... 1000 1162000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096324 -               2230... 80 79260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096326 -  ..
096327 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096329 -  ..
096330 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096331 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096333 -  ..
096334 - Blood pressure poor and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096335 - gastrointestinal drugs last night, and after hiking 12 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096336 - pace yesterday. per above. ref SDS 0 YE5F  BP and heart rate okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096337 - after 11 mile hike today, with temperatue over  70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096339 -  ..
096340 - Weight - 184 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096341 - today.  Seems conflicting with not eat much yesterday.  Lost 6 pounds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096342 - hiking 11 miles with fast pace and moderate temperature.  Mainly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096343 - reflects extended effort hiking uphill against strong wind on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096344 - Ranch Road and Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096346 -  ..
096347 - Pain medication - acetaminophen and ibuprofen and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096348 - Chondroitin until PRP injection treatment scheduled on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096349 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096350 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096351 - Right knee pain level 0 entire hike.  Left knee pain level 2 15% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096352 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096353 - foot mild burning sensation about 20% of route, and metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096354 - level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096356 -  ..
096357 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096358 - ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096359 - toes both feet.  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096360 - Right foot plantar plate tear pain level 0 entire hike.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096361 - mild burning sensation about 20% of route, and metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096362 - level 0 entire route.  Calluses pain level 0 both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096364 -  ..
096365 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096366 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096367 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096368 - Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096370 -  ..
096371 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096372 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096373 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096374 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096376 -  ..
096377 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096379 -  ..
096380 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096382 -  ..
096383 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096384 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096385 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096386 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096387 - 1230. ref SDS 91 268M  Today, on 180614, used Egg Ped tool again to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096388 - further shave callus and used emory paper to sand the callus to near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096389 - normal skin contour, supplementing first use on 180529 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096390 - ref SDS 0 SPRT  Today, Today, did not apply protective gel pad with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096391 - white tape.  Pain level 0 entire hike.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096392 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096394 -  ..
096395 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096396 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096397 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096398 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096399 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096401 -  ..
096402 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096403 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096404 - good, calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096405 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096406 - Clayton hiking on concrete sidewalk.  Metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096407 - entire hike.  Mild burning sensation right foot for several miles;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096408 - still much improved after switching back to "Smartwool socks."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096409 - ref SDS 0 UQXT  Right foot plantar plate injury pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096410 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096411 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096412 - South Side to hike against Eastbound traffic flow.  Strong headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096413 - today, so slower pace.  Time mile 4.25 69 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096414 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096415 - corner and hiked 4-mile loop on Crystal Ranch Road.  Big effort for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096416 - slow pace going 1 mile uphill against very strong wind.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096417 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096418 - Woods Way continued slow pace to protect both knees pain level 0 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096419 - taking Glucosamine Chondroitin before starting hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096420 - ref SDS 0 UE6G  May indicate PRP treatments on 170726, and on 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096421 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096422 - calluses both feet, indicating effective protection wearing 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096423 - Smartwool socks received on 180530 0726, ref SDS 92 9O6X, Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096424 - Rolling Woods Way.  Going up steep hill felt strong - increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096425 - with strong tailwind for .3 miles with pain level 0.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096426 - slowed pace.  Pain level 0 left knee and pain level 0 right knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096427 - Turned corner onto Pine Hollow and increased pace hiked 1 mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096428 - ground.  Turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096429 - Crystal Ranch Road.  Continued on Ygnacio Valley Road uphill to Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096430 - at fast pace.  No hamstring pull right leg today.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096431 - Cowell and hiked 1 mile back to Treat.  Turned corner onto Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096432 - hiked .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096434 -  ..
096435 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096436 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096437 - Dinner - tuna avocado onion celery mushrooms triscuts, cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096439 -  ..
096440 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096444 -         ..
096445 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096446 -  166.  180615 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096447 -               0910....BP HR with Diff........................................... 146  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096448 -               0915....BP HR with Diff........................................... 134  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096449 -               0920....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096450 -               0920... 20 14980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096451 -               0920... 80 79340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096452 -               0920....1000  81000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096453 -               0920....200    9200 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096454 -               0920....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096455 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096456 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096457 -               1250....miles...........   7.0  54.00   98  880 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096458 -               1450....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096459 -               1500....BP HR with Diff........................................... 116  70  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096460 -               1505....BP HR with Diff........................................... 111  70  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096461 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096462 -               1625... 40 33720 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096463 -               2100............ 10 10310  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096464 -               2100............ 10  9900  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096465 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096466 -               2150... 40 13800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096467 -               2220... 1000 1163000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096468 -               2330... 80 79420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096470 -  ..
096471 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096473 -  ..
096474 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096475 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096477 -  ..
096478 - Blood pressure poor and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096479 - gastrointestinal drugs last night, and after hiking 11 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096480 - pace yesterday. per above. ref SDS 0 3V6M  BP and heart rate high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096481 - after 7 mile hike today, with temperatue over  70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096483 -  ..
096484 - Weight - 183 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096485 - today.  Aligns with not eating much yesterday.  Lost 3 pounds hiking 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096486 - miles with moderate pace and moderate temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096488 -  ..
096489 - Pain medication - started with none, but after 30 yards hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096490 - returned and took acetaminophen and ibuprofen.  Before starting took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096491 - Glucosamine Chondroitin until PRP injection treatment scheduled on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096492 - 180620 (returning since 170726, reported in prior case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096493 - 0700. ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096494 - route.  Right knee pain level 0 entire hike.  Left knee pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096495 - 10% of route.  Right foot plantar plate tear pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096496 - Right foot mild burning sensation about 20% of route, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096497 - metatarsalgia pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096499 -  ..
096500 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096501 - ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096502 - toes both feet.  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096503 - Right foot plantar plate tear pain level 0 entire hike.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096504 - mild burning sensation about 20% of route, and metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096505 - level 0 entire route.  Calluses pain level 0 both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096507 -  ..
096508 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096509 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096510 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096511 - Worked well for entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096513 -  ..
096514 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096515 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096516 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096517 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096519 -  ..
096520 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096522 -  ..
096523 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096525 -  ..
096526 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096527 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096528 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096529 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096530 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096531 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096532 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096533 - Today, Today, did not apply protective gel pad with white tape.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096534 - level 0 entire hike.  After hike did not apply Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096535 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096537 -  ..
096538 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096539 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096540 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096541 - Ammonium Lactate 12% has begun curing this injury.  After hike did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096542 - apply again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096544 -  ..
096545 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096546 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096547 - poor.  Within 30 yards noticed pain in left knee, so returned to house                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096548 - and took pain medication, per above. ref SDS 0 UWPX  After starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096549 - again, decided not to do the hike, because of very high wind.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096550 - returning half way home, seemed like wind died down, so turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096551 - and continued hike, but after only 10 yards high wind occurred again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096552 - so turned around and headed home.  Finally, changed mind and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096553 - around and hiked to Cuneo and then to Treat.  Wind was behind me, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096554 - continued hike.  Calfs pain level 1.  Left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096555 - level 0 entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096556 - on Clayton hiking on concrete sidewalk.  Metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096557 - entire hike.  Mild burning sensation right foot for several miles;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096558 - still much improved after switching back to "Smartwool socks."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096559 - ref SDS 0 UQXT  Right foot plantar plate injury pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096560 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096561 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096562 - South Side to hike against Eastbound traffic flow.  Strong headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096563 - today, so slower pace.  Time mile 4.25 70 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096564 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096565 - corner and hiked about 100 yards; however encountered very heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096566 - winds, like yesterday, per above. ref SDS 0 UVQV  Decided not to make                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096567 - effort hiking against strong wind, so turned around and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096568 - Ygnacio Valley Road, rather than complete 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096569 - Road.  Considered hiking over summit to Oak Grove then Treat for 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096570 - mile route.  Continued on Ygnacio Valley Road uphill still against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096571 - very heavy wind, so turned corner at Cowell and hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096572 - Treat.  Turned corner onto Treat and hiked .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096574 -  ..
096575 - Breakfast - few small bites tuna avocado cottage cheese left overs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096576 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096577 - Dinner - macaroni tuna avocado onion celery mushrooms, peach cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096578 - milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096580 -  ..
096581 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096585 -         ..
096586 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096587 -  167.  180616 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096588 -               0815....BP HR with Diff........................................... 121  70  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096589 -               0820....BP HR with Diff........................................... 121  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096590 -               0825....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096591 -               0825... 20 15000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096592 -               0825... 80 79500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096593 -               0825....1000  82000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096594 -               0825....200    9400 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096595 -               0825....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096596 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096597 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096598 -          * cr 0905....miles...........  13.0  67.00  201 1081 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096599 -               1310....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096600 -               1315....BP HR with Diff........................................... 123  77  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096601 -               1320....BP HR with Diff........................................... 121  74  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096602 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096603 -               1845... 40 33760 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096604 -             1 0000............ 10 10310  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096605 -             1 0000............ 10  9900  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096606 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096607 -               2055... 40 13840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096608 -               2120... 1000 1164000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096609 -               2350... 80 79580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096611 -  ..
096612 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096614 -  ..
096615 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096616 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096618 -  ..
096619 - Blood pressure very good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096620 - gastrointestinal drugs last night, and after hiking 7 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096621 - pace yesterday. per above. ref SDS 0 ZE9H  BP and heart rate higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096622 - than expected after 13 mile hike today, with temperatue over  70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096624 -  ..
096625 - Weight - 184 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096626 - today.  Conflicts with not eating much yesterday.  Lost 6 pounds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096627 - hiking 13 miles with moderate pace and moderate temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096629 -  ..
096630 - Pain medication - acetaminophen and ibuprofen, and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096631 - Chondroitin until PRP injection treatment scheduled on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096632 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096633 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096634 - Right knee pain level 0 entire hike.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096635 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096636 - foot no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096637 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096639 -  ..
096640 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096641 - ref SDS 92 9O6X  Did not apply felt/wool cloth strip woven between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096642 - toes both feet.  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096643 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096644 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096645 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096647 -  ..
096648 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096649 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096650 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096651 - Worked well for entire hike.  Sartwool socks seem to be enough for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096652 - adequate separation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096654 -  ..
096655 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096656 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096657 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096658 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096660 -  ..
096661 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096663 -  ..
096664 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096666 -  ..
096667 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096668 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096669 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096670 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096671 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096672 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096673 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096674 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096675 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096677 -  ..
096678 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096679 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096680 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096681 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096682 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096684 -  ..
096685 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096686 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096687 - okay.  Wind less severed than yesterday.  Calfs pain level 1.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096688 - foot tailor's bunion pain level 0 entire hike.  Time to 1.25 miles 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096689 - minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096690 - Metatarsalgia pain level 0 entire hike.  No burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096691 - foot entire hike.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096692 - hike.  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096693 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096694 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096695 - South Side to hike against Eastbound traffic flow.  Noticable headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096696 - today, but able to maintain good pace.  Time mile 4.25 68 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096697 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096698 - so turned corner corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096699 - Fast pace going 1 mile uphill against slight wind.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096700 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096701 - Woods Way continued slow pace to protect both knees pain level 0 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096702 - taking Glucosamine Chondroitin before starting hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096703 - ref SDS 0 5B5H  May indicate PRP treatments on 170726, and on 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096704 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096705 - calluses both feet, indicating effective protection wearing 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096706 - Smartwool socks received on 180530 0726, ref SDS 92 9O6X, Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096707 - Rolling Woods Way.  Going up steep hill felt strong - increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096708 - with tailwind for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096709 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096710 - corner onto Pine Hollow and increased pace hiked 1 mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096711 - ground.  About halfway on Pine Hollow an elderly man and woman hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096712 - in opposite direction stopped me saying they see me everywhere hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096713 - for past few years, and asked how far each day?  Explained base route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096714 - is 11 miles; when feel strong, like today, add 4 mile Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096715 - Road loop to make 15 miles.  Yesterday, with heavy winds hiked only 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096716 - miles.  They said they started hiking a few months ago, and feel much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096717 - stronger now.  Congratulated them on healthy lifestyle, and thanked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096718 - them for asking about my hiking.  Continued to end of Pine Hollow, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096719 - turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096720 - Ranch Road.  Continued on Ygnacio Valley Road uphill to Cowell at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096721 - pace.  No hamstring pull right leg today.  Since wind was not severe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096722 - hiked to summit, and then downhill 2 miles to Oak Grove.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096723 - Oak Grove and called Kathy to meet at corner of Treat and Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096724 - Hiked 1 mile on Oak Grove.  New pavement is much softer on feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096725 - knees.  Met Kathy and ended hike at Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096727 -  ..
096728 - Breakfast - ensure with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096729 - Lunch - half hamburger and some fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096730 - Dinner - lettuce cucumber avocado salmon onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096732 -  ..
096733 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096737 -         ..
096738 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096739 -  168.  180617 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096740 -               0750....BP HR with Diff........................................... 135  77  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096741 -               0755....BP HR with Diff........................................... 129  71  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096742 -               0800....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096743 -               0800... 20 15020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096744 -               0800... 80 79660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096745 -               0800....1000  83000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096746 -               0800....200    9600 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096747 -               0800....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096748 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096749 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096750 -               0920....miles...........   3.0  70.00   44 1125 minutes temp  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096751 -          * cr 1120....miles...........  13.0  83.00  202 1322 minutes temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096752 -               1310....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096753 -               1315....BP HR with Diff........................................... 113  76  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096754 -               1320....BP HR with Diff........................................... 121  74  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096755 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096756 -               1720... 40 33800 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096757 -               2000............ 10 10320  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096758 -               2000............ 10  9910  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096759 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096760 -               2105... 40 13880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096761 -               2120... 1000 1165000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096762 -               2220... 80 79740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096764 -  ..
096765 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096767 -  ..
096768 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096769 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096771 -  ..
096772 - Blood pressure good and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096773 - gastrointestinal drugs last night, and after hiking 13 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096774 - pace yesterday. per above. ref SDS 0 V76K  BP and heart rate higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096775 - than expected after 16 mile hike today, with temperatue over  70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096777 -  ..
096778 - Weight - 183 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096779 - today.  Conflicts with not eating much yesterday.  Lost 5 pounds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096780 - hiking 16 miles with fast pace and moderate temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096782 -  ..
096783 - Pain medication - acetaminophen and ibuprofen, and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096784 - Chondroitin until PRP injection treatment scheduled on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096785 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096786 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096787 - Right knee pain level 0 entire hike.  Left knee pain level 2 10% of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096788 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096789 - foot no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096790 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096792 -  ..
096793 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096794 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096795 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096796 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096797 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096799 -  ..
096800 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096801 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096802 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096803 - Worked well for entire hike.  Sartwool socks seem to be enough for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096804 - adequate separation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096806 -  ..
096807 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096808 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096809 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096810 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096812 -  ..
096813 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096815 -  ..
096816 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096818 -  ..
096819 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096820 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096821 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096822 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096823 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096824 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096825 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096826 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096827 - entire hike.  After hike did not apply Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096829 -  ..
096830 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096831 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096832 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096833 - Ammonium Lactate 12% has begun curing this injury.  After hike did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096834 - apply again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096836 -  ..
096837 - Lafayette Reservoir with Kathy - Hiked down the dam and around to 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096838 - steep hill.  Tailor's Bunion left foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096839 - Pain level 0 calluses both big toes.  Kathy took 1st big hill today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096840 - rather than shallower route behind the Ranger's station.  Hiked up the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096841 - 1st steep hill.  Handled this well.  Right foot plantar plate tear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096842 - pain level 0 with just acetaminophen and ibuprofen.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096843 - together to mile 1 mark.  Kathy turned and hiked back to where we                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096844 - started half way down the dam.  Increased speed hiking around the lake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096845 - with left knee pain level 0 3.  Hiked remaining hills well with fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096846 - pace including Killer Ridge.  Very good hike.  Going uphill relieves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096847 - pain left knee, and downhill have to slow down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096849 -  ..
096850 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096851 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096852 - okay.  Wind less severe than yesterday.  Calfs pain level 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096853 - foot tailor's bunion pain level 0 entire hike.  Time to 1.25 miles 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096854 - minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096855 - Metatarsalgia pain level 0 entire hike.  No burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096856 - foot entire hike.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096857 - hike.  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096858 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096859 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096860 - South Side to hike against Eastbound traffic flow.  No headwind today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096861 - so increase pace.  Time mile 4.25 65 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096862 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096863 - corner and hiked 4-mile loop on Crystal Ranch Road.  Fast pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096864 - 1 mile uphill against slight wind.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096865 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096866 - pace to protect both knees pain level 0 after taking Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096867 - Chondroitin before starting hike, per above. ref SDS 0 1L5M  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096868 - indicate PRP treatments on 170726, and on 180105, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096869 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096870 - indicating effective protection wearing 1 pair Smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096871 - received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096872 - Way.  Going up steep hill felt strong - increased pace for .3 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096873 - pain level 0.  Going downhill slowed pace.  Pain level 0 left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096874 - pain level 0 right knee.  Turned corner onto Pine Hollow and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096875 - pace hiked 1 mile on flat ground.  Continued to end of Pine Hollow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096876 - and turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096877 - Crystal Ranch Road.  Continued on Ygnacio Valley Road uphill to Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096878 - at fast pace.  No hamstring pull right leg today.  Since wind was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096879 - severe, hiked to summit, and then downhill 2 miles to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096880 - Turned onto Oak Grove and called Kathy to meet at corner of Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096881 - Oak Grove.  Hiked 1 mile on Oak Grove.  New pavement is much softer on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096882 - feet and knees.  Met Kathy and ended hike at Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096884 -  ..
096885 - Breakfast - ensure with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096886 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096887 - Dinner - spaghetti (too much) onion avocado squash donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096889 -  ..
096890 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096892 -  ..
096893 - Difficulty swallowing at night, slept in reclining chair to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096894 - gagging laying down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096898 -         ..
096899 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096900 -  169.  180618 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096901 -               0830....BP HR with Diff........................................... 128  71  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096902 -               0835....BP HR with Diff........................................... 125  69  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096903 -               0840....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096904 -               0840... 20 15040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096905 -               0840... 80 79820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096906 -               0840....1000  84000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096907 -               0840....200    9800 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096908 -               0840....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096909 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096910 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096911 -          * cr 0940....miles...........  11.0  11.00  170  170 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096912 -               1255....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096913 -               1310....BP HR with Diff........................................... 115  68  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096914 -               1315....BP HR with Diff........................................... 110  68  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096915 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096916 -               1610... 40 33840 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096917 -             1 0000............ 10 10320  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096918 -             1 0000............ 10  9910  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096919 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096920 -               1930... 40 13920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096921 -               2020... 1000 1166000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096922 -               2210... 80 79900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096924 -  ..
096925 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096927 -  ..
096928 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096929 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096931 -  ..
096932 - Blood pressure good and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096933 - gastrointestinal drugs last night, and after hiking 16 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096934 - pace yesterday. per above. ref SDS 0 1L5M  BP and heart rate higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096935 - than expected after 11 mile hike at fast pace today, with temperatue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096936 - over  70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096938 -  ..
096939 - Weight - 184 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096940 - today.  Aligns with over-eating yesterday. ref SDS 0 VRRY  Lost only 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096941 - pounds hiking 11 miles with fast pace and moderate temperature.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096943 -  ..
096944 - Pain medication - acetaminophen and ibuprofen, and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096945 - Chondroitin until PRP injection treatment scheduled on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096946 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096947 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096948 - Right knee pain level 0 entire hike.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096949 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096950 - foot no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096951 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096953 -  ..
096954 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096955 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096956 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096957 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096958 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096960 -  ..
096961 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096962 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096963 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096964 - Worked well for entire hike.  Smartwool socks seem to be enough for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096965 - adequate separation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096967 -  ..
096968 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096969 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096970 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096971 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096973 -  ..
096974 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096976 -  ..
096977 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096979 -  ..
096980 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096981 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096982 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096983 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096984 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096985 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096986 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096987 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096988 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096990 -  ..
096991 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096992 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096993 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096994 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096995 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096997 -  ..
096998 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096999 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097000 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097001 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097002 - Clayton hiking on concrete sidewalk.  Metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097003 - entire hike.  No burning sensation right foot entire hike.  Calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097004 - big toes both feet pain level 0 entire hike.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097005 - injury pain level 0.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097006 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097007 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097008 - traffic flow.  No headwind today, so increase pace.  Time mile 4.25 66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097009 - minutes.  Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097010 - level 0, so turned corner corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097011 - Ranch Road.  Maintained fast pace going 1 mile uphill.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097012 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097013 - Woods Way continued faster than usual pace; both knees still pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097014 - level 0 after taking Glucosamine Chondroitin before starting hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097015 - above. ref SDS 0 YJ6H  May indicate PRP treatments on 170726, and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097016 - 180105, effective preventing osteoarthritis.  No blisters and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097017 - level 0 calluses both feet, indicating effective protection wearing 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097018 - pair Smartwool socks received on 180530 0726, ref SDS 92 9O6X, Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097019 - onto Rolling Woods Way.  Going up steep hill felt strong - maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097020 - fast pace for .3 miles - pain level 0.  Going downhill faster than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097021 - normal pace.  Pain level 0 left knee and pain level 0 right knee.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097022 - Turned corner onto Pine Hollow and increased pace hiked 1 mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097023 - ground.  Continued to end of Pine Hollow, and turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097024 - Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097025 - Continued on Ygnacio Valley Road uphill to Cowell at fast pace.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097026 - hamstring pull right leg today.  Felt fatigued, so turned corner a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097027 - Cowell.  Hiked 1 mile fast pace to Treat.  Turned onto Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097028 - hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097030 -  ..
097031 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097032 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097033 - Dinner - lettuce onion avocado salmon tomato cumcumber pasta hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097034 - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097036 -  ..
097037 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097041 -         ..
097042 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097043 -  170.  180619 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097044 -               0810....BP HR with Diff........................................... 128  72  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097045 -               0815....BP HR with Diff........................................... 130  70  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097046 -               0820....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097047 -               0820... 20 15060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097048 -               0820... 80 79980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097049 -               0820....1000  85000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097050 -               0820....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097051 -               0820....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097052 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097053 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097054 -          * cr 1100....miles...........  15.0  26.00  237  407 minutes temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097055 -               1600....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097056 -               1605....BP HR with Diff........................................... 101  74 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097057 -               1610....BP HR with Diff........................................... 100  73  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097058 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097059 -               1700... 40 33880 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097060 -               2100............ 10 10330  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097061 -               2100............ 10  9920  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097062 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097063 -               1940... 40 13960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097064 -               2020... 1000 1167000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097065 -               2120... 80 80060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097067 -  ..
097068 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097070 -  ..
097071 - Orthopedic treatment PRP injections knees and feet on 180105 1630.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097072 - ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097074 -  ..
097075 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097076 - gastrointestinal drugs last night, and after hiking 11 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097077 - pace yesterday. per above. ref SDS 0 YJ6H  BP and heart rate higher                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097078 - than expected after 15 mile hike at normal pace today, with temperatue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097079 - over  80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097081 -  ..
097082 - Weight - 182 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097083 - today.  Lost 7 pounds hiking 15 miles with normal pace and temerpature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097084 - over 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097086 -  ..
097087 - Pain medication - acetaminophen and ibuprofen, and Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097088 - Chondroitin until PRP injection treatment scheduled on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097089 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097090 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097091 - Right knee pain level 0 entire hike.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097092 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097093 - foot no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097094 - entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097096 -  ..
097097 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097098 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097099 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097100 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097101 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097103 -  ..
097104 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097105 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097106 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097107 - Worked well for entire hike.  Smartwool socks seem to be enough for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097108 - adequate separation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097110 -  ..
097111 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097112 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097113 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097114 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097116 -  ..
097117 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097119 -  ..
097120 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097122 -  ..
097123 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097124 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097125 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097126 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097127 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097128 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097129 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097130 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097131 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097133 -  ..
097134 - Blister right foot below big toe.  Seemed to feel pressure building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097135 - about mile 12 turning from Ygnacio Valley Road onto Oak Grove.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097136 - hike found small bubble.  Popped the bubble and cleaned the area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097137 - Later applied Ammonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097139 -  ..
097140 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097141 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097142 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097143 - Ammonium Lactate 12% beginning about 180529, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097144 - SPUX, has begun curing this injury.  After hike applied again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097146 -  ..
097147 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097148 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097149 - Calfs pain level 0.  Left foot tailor's bunion pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097150 - hike.  Time to 1.25 miles 18 minutes.  Slow pace on Clayton hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097151 - concrete sidewalk.  Metatarsalgia pain level 0 entire hike.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097152 - burning sensation right foot entire hike.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097153 - injury pain level 0.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097154 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097155 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097156 - traffic flow.  Noticed blister below big toe right foot pain level 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097157 - so maintain slow pace.  Time mile 4.25 68 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097158 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097159 - corner corner and hiked 4-mile loop on Crystal Ranch Road.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097160 - good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097161 - ground.  Going down steep hill toward Rolling Woods Way continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097162 - faster than usual pace; both knees still pain level 0 after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097163 - Glucosamine Chondroitin before starting hike, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097164 - 556N  May indicate PRP treatments on 170726, and on 180105, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097165 - preventing osteoarthritis.  Blister below big toe right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097166 - level 1, and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097167 - protection wearing 1 pair Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097168 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097169 - felt strong - maintained fast pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097170 - downhill faster than normal pace.  Pain level 0 left knee and pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097171 - level 0 right knee.  Turned corner onto Pine Hollow and maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097172 - pace hiked 1 mile on flat ground.  Continued to end of Pine Hollow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097173 - and turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097174 - Crystal Ranch Road.  Continued on Ygnacio Valley Road uphill to Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097175 - at fast pace.  No hamstring pull right leg today.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097176 - uphill to summit.  Maintained fast pace downhill 2 miles to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097177 - Turned corner onto Oak Grove.  Feeling fatigue from temperature about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097178 - 85.  Feeling blister developing on right foot below big toe.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097179 - mile to Treat.  Turned corner onto Treat and hiked 1 mile.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097180 - pace going uphill .5 miles on Treat.  Turned corner onto Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097181 - hiked loop on Kaski, Cowell back to Treat then Cuneo again, and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097183 -  ..
097184 - Breakfast - cherrios chia seeds milk with acetaminophen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097185 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097186 - Dinner - lettuce onion cumcumber tomato avocado tuna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097188 -  ..
097189 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097194 -         ..
097195 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097196 -  171.  180620 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097197 -               0630....BP HR with Diff........................................... 129  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097198 -               0635....BP HR with Diff........................................... 126  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097199 -               0635....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097200 -               0635... 20 15080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097201 -               0635... 80 80220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097202 -               0000....1000  85000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097203 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097204 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097205 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097206 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097207 -          * cr 0705....miles...........  14.0  40.00  223  639 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097208 -               1030....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097209 -               1040....BP HR with Diff........................................... 110  73  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097210 -               1045....BP HR with Diff........................................... 106  68  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097211 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097212 -               1700... 40 33880 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097213 -             1 0000............ 10 10330  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097214 -             1 0000............ 10  9920  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097215 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097216 -               2130... 40 13960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097217 -               2210... 1000 1167000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097218 -               2240... 80 80060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097220 -  ..
097221 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097223 -  ..
097224 - Orthopedic treatment PRP injections knees and feet today, on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097225 - 1530, following up prior PRP on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097227 -  ..
097228 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097229 - gastrointestinal drugs last night, and after hiking 15 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097230 - pace yesterday. per above. ref SDS 0 556N  BP and heart rate okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097231 - 11 mile hike at normal pace today, with temperatue over  60.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097233 -  ..
097234 - Weight - 181 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097235 - today.  Lost 4 pounds hiking 11 miles with normal pace and temerpature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097236 - over 60.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097238 -  ..
097239 - Pain medication - no acetaminophen and ibuprofen, and no Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097240 - Chondroitin because of lab today, and PRP injection treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097241 - scheduled on 180620 (returning since 170726, reported in prior case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097242 - study on 160101 0700. ref SDS 37 RYXS  Pain level 0 left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097243 - bunion entire route.  Right knee pain level 0 entire hike.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097244 - pain level 0 entire route.  Right foot plantar plate tear pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097245 - entire hike.  Right foot no burning sensation entire route, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097246 - metatarsalgia pain level 1 right foot entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097248 -  ..
097249 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097250 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097251 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097252 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097253 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097255 -  ..
097256 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097257 - ring toe and little toe without dressing for Tailor's bunion, and used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097258 - on right foot little toe and ring toe.  Somehow about mile 4, one of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097259 - the toe caps came loose during the hike and worked itself under long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097260 - toe and middle toe for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097262 -  ..
097263 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097264 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097265 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097266 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097268 -  ..
097269 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097271 -  ..
097272 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097274 -  ..
097275 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097276 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097277 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097278 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097279 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097280 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097281 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097282 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097283 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097285 -  ..
097286 - Blister right foot below big toe, reported yesterday on 180619, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097287 - above. ref SDS 0 PE6F  Applied neoprene dressing with coutout to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097288 - protect injured area.  This was only partially successful during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097289 - During PRP treatment today, Doctor Tucker injected right foot halux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097290 - valgus; this may also treat the adjacent blister.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097292 -  ..
097293 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097294 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097295 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097296 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097297 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097299 -  ..
097300 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097301 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097302 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097303 - entire hike.  Time to 1.25 miles 19 minutes.  Slow pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097304 - hiking on concrete sidewalk.  Metatarsalgia pain level 1 right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097305 - entire hike.  No burning sensation right foot entire hike.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097306 - plantar plate injury pain level 0.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097307 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097308 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097309 - against Eastbound traffic flow.  About mile 4, one of the toe caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097310 - came loose and worked itself under long toe and middle toe for rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097311 - hike.  This may have reduced pressure on ball of foot to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097312 - metatarsalgia.  Noticed blister below big toe right foot pain level 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097313 - so maintain slow pace.  Time mile 4.25 71 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097314 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097315 - corner and hiked 4-mile loop on Crystal Ranch Road.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097316 - going 1 mile uphill.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097317 - Going down steep hill toward Rolling Woods Way continued pace; both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097318 - knees still pain level 0 despite not taking Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097319 - before starting hike, per above. ref SDS 0 VTSP  May indicate PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097320 - treatments on 170726, and on 180105, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097321 - osteoarthritis.  Blister below big toe right foot pain level 1, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097322 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097323 - wearing 1 pair Smartwool socks received on 180530 0726, ref SDS 92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097324 - 9O6X, Turned onto Rolling Woods Way.  Going up steep hill felt strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097325 - - maintained fast pace for .3 miles - pain level 0.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097326 - faster than normal pace.  Pain level 0 left knee and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097327 - right knee.  Turned corner onto Pine Hollow and maintained pace hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097328 - 1 mile on flat ground.  Continued to end of Pine Hollow, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097329 - corner onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097330 - Road.  Continued on Ygnacio Valley Road uphill to Cowell at fast pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097331 - With metatarsalgia pain level 1, and limited time for blood draw and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097332 - driving to Novato for another PRP treatment, turned corner onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097333 - and hiked 1 mile back to Treat, then hiked home to end hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097335 -  ..
097336 - Arrived early for PRP injection treatment, so while waiting for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097337 - Doctor Tucker to arrive, hiked another 3 miles around the block in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097338 - Novato.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097340 -  ..
097341 - Breakfast - fast for lipid lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097342 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097343 - Dinner - lettuce onion cumcumber tomato avocado tuna, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097345 -  ..
097346 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097351 -         ..
097352 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097353 -  172.  180621 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097354 -               0840....BP HR with Diff........................................... 129  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097355 -               0845....BP HR with Diff........................................... 127  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097356 -               0845....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097357 -               0845... 20 15080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097358 -               0845... 80 80220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097359 -               0000....1000  85000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097360 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097361 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097362 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097363 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097364 -               0915....miles...........   3.0  43.00   50  743 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097365 -               1020....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097366 -               1040....BP HR with Diff........................................... 110  73  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097367 -               1045....BP HR with Diff........................................... 106  68  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097368 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097369 -               1700... 40 33880 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097370 -             1 0000............ 10 10330  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097371 -             1 0000............ 10  9920  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097372 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097373 -               2110... 40 13960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097374 -               2130... 1000 1167000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097375 -               2220... 80 80060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097377 -  ..
097378 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097380 -  ..
097381 - Orthopedic treatment PRP injections knees and feet today, on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097382 - 1530, following up prior PRP on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097384 -  ..
097385 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097386 - gastrointestinal drugs last night, and after hiking 15 miles at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097387 - pace yesterday. per above. ref SDS 0 556N  BP and heart rate okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097388 - 11 mile hike at normal pace today, with temperatue over  60.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097390 -  ..
097391 - Weight - 181 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097392 - today.  Lost 4 pounds hiking 11 miles with normal pace and temerpature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097393 - over 60.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097395 -  ..
097396 - Pain medication - no acetaminophen and ibuprofen, and no Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097397 - Chondroitin because of lab today, and PRP injection treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097398 - scheduled on 180620 (returning since 170726, reported in prior case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097399 - study on 160101 0700. ref SDS 37 RYXS  Pain level 0 left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097400 - bunion entire route.  Right knee pain level 0 entire hike.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097401 - pain level 0 entire route.  Right foot plantar plate tear pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097402 - entire hike.  Right foot no burning sensation entire route, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097403 - metatarsalgia pain level 1 right foot entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097405 -  ..
097406 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097407 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097408 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097409 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097410 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097412 -  ..
097413 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097414 - ring toe and little toe without dressing for Tailor's bunion, and used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097415 - on right foot little toe and ring toe.  Somehow about mile 4, one of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097416 - the toe caps came loose during the hike and worked itself under long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097417 - toe and middle toe for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097419 -  ..
097420 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097421 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097422 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097423 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097425 -  ..
097426 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097428 -  ..
097429 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097431 -  ..
097432 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097433 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097434 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097435 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097436 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097437 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097438 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097439 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097440 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097442 -  ..
097443 - Blister right foot below big toe, reported yesterday on 180619, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097444 - above. ref SDS 0 PE6F  Applied neoprene dressing with coutout to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097445 - protect injured area.  This was only partially successful during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097446 - During PRP treatment today, Doctor Tucker injected right foot halux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097447 - valgus; this may also treat the adjacent blister.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097449 -  ..
097450 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097451 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097452 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097453 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097454 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097456 -  ..
097457 - Lafayette Reservoir with Kathy - rehab PRP injection treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097458 - yesterday - hiked to North end of dam going very slow, then turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097459 - around and hiked down to South end of the dam.  Continued slow up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097460 - slight hill park and playground area, continued to .5 mile mark.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097461 - pain level 0 and knees pain level 2 due to swelling.  Reversed course                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097462 - and headed back to the dam.  Saw Becky coming toward me, so walked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097463 - with her about .25 miles for a visit.  She seems recovered from her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097464 - fall reported on 180527, per above. ref SDS 0 YX5G  When we reached .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097465 - mile mark again, Becky continued, but I reversed course again.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097466 - slowly back to playground area.  Saw Kathy and we walked back to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097467 - dam, then to the other end and back, making a total of 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097469 -  ..
097470 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097471 - Lunch - half sandwich balogna tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097472 - Dinner - lettuce onion avocado tomato, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097474 -  ..
097475 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097480 -         ..
097481 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097482 -  173.  180622 0410..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097483 -               0415....BP HR with Diff........................................... 130  78  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097484 -               0420....BP HR with Diff........................................... 128  75  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097485 -               0430....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097486 -               0430... 20 15100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097487 -               0430... 80 80380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097488 -               0000....1000  85000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097489 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097490 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097491 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097492 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097493 -               0810....miles...........   2.0  45.00   37  780 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097494 -               0920....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097495 -               0925....BP HR with Diff........................................... 148  74  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097496 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097497 -               1700... 40 33920 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097498 -             1 0000............ 10 10330  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097499 -             1 0000............ 10  9920  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097500 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097501 -               2005... 40 14000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097502 -               2040... 1000 1168000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097503 -               2210... 80 80460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097505 -  ..
097506 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097508 -  ..
097509 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097510 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097511 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097512 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097514 -  ..
097515 - Blood pressure okay and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097516 - gastrointestinal drugs last night, and after hiking 3 miles at slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097517 - pace yesterday. per above. ref SDS 0 K17N  BP and heart rate okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097518 - 2 mile walk at normal pace today, with temperatue over  80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097520 -  ..
097521 - Weight - 184 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097522 - today.  Lost 2 pounds hiking 2 miles with normal pace and temerpature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097523 - over 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097525 -  ..
097526 - Pain medication - no acetaminophen and ibuprofen, and no Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097527 - Chondroitin because of lab today, and PRP injection treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097528 - scheduled on 180620 (returning since 170726, reported in prior case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097529 - study on 160101 0700. ref SDS 37 RYXS  Pain level 0 left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097530 - bunion entire route.  Right knee pain level 0 entire hike.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097531 - pain level 0 entire route.  Right foot plantar plate tear pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097532 - entire hike.  Right foot no burning sensation entire route, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097533 - metatarsalgia pain level 1 right foot entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097535 -  ..
097536 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097537 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097538 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097539 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097540 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097542 -  ..
097543 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097544 - ring toe and little toe without dressing for Tailor's bunion, and used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097545 - on right foot little toe and ring toe.  Somehow about mile 4, one of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097546 - the toe caps came loose during the hike and worked itself under long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097547 - toe and middle toe for rest of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097549 -  ..
097550 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097551 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097552 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097553 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097555 -  ..
097556 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097558 -  ..
097559 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097561 -  ..
097562 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097563 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097564 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097565 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097566 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097567 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097568 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097569 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097570 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097572 -  ..
097573 - Blister right foot below big toe, reported yesterday on 180619, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097574 - above. ref SDS 0 PE6F  Applied neoprene dressing with coutout to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097575 - protect injured area.  This was only partially successful during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097576 - During PRP treatment today, Doctor Tucker injected right foot halux                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097577 - valgus; this may also treat the adjacent blister.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097579 -  ..
097580 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097581 - protection pad, created several days ago, per above. ref SDS 0 TQVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097582 - Pain level 0 entire hike wearing Smartwool socks.  Indicates applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097583 - Ammonium Lactate 12% has begun curing this injury.  After hike applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097584 - again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097586 -  ..
097587 - Walking around campus at VAMCSF.  Difficulty knee pain going up and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097588 - down stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097590 -  ..
097591 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097592 - Lunch - sandwich balogna tomato onion cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097593 - Dinner - squash onion hot dog avocado cottage cheese, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097595 -  ..
097596 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097600 -         ..
097601 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097602 -  174.  180623 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097603 -               0745....BP HR with Diff........................................... 131  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097604 -               0750....BP HR with Diff........................................... 123  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097605 -               0755....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097606 -               0755... 20 15100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097607 -               0755... 80 80380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097608 -               0000....1000  85000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097609 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097610 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097611 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097612 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097613 -               1000....miles...........   7.0  52.00  114  894 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097614 -               1230....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097615 -               1235....BP HR with Diff........................................... 113  74  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097616 -               1240....BP HR with Diff........................................... 109  75  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097617 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097618 -               1700... 40 33920 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097619 -               1920............ 10 10340  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097620 -               1920............ 10  9930  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097621 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097622 -               2040... 40 14000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097623 -               2120... 1000 1168000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097624 -               2250... 80 80460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097626 -  ..
097627 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097629 -  ..
097630 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097631 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097632 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097633 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097635 -  ..
097636 - Blood pressure okay and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097637 - gastrointestinal drugs last night, and after hiking 3 miles at slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097638 - pace yesterday. per above. ref SDS 0 K17N  BP and heart rate okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097639 - 2 mile walk at normal pace today, with temperatue over  80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097641 -  ..
097642 - Weight - 184 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097643 - today.  Lost 5 pounds hiking 7 miles with normal pace and temerpature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097644 - over 90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097646 -  ..
097647 - Pain medication - none after PRP injection treatment on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097648 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097649 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097650 - Right knee pain level 0 entire hike.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097651 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097652 - foot no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097653 - right foot entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097655 -  ..
097656 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097657 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097658 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097659 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097660 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097662 -  ..
097663 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097664 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097665 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097667 -  ..
097668 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097669 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097670 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097671 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097673 -  ..
097674 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097676 -  ..
097677 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097679 -  ..
097680 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097681 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097682 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097683 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097684 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097685 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097686 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097687 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097688 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097690 -  ..
097691 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097692 - ref SDS 0 PE6F  Relied on PRP treatment on 180620, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097693 - ref SDS 0 VTQT, and smartwool socks.  Pain level 0 protect injured                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097694 - area.  This was successful during hike.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097695 - Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097697 -  ..
097698 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097699 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097700 - on PRP treatment on 180620, per above. ref SDS 0 VTQT  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097701 - entire hike wearing Smartwool socks.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097702 - Lactate 12% started OA 180529, per above, ref SDS 0 SPUX, and which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097703 - has also been effective, reported on 180615, per above. ref SDS 0 VSSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097705 -  ..
097706 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097707 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097708 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097709 - entire hike.  Time to 1.25 miles 20 minutes.  Slow pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097710 - hiking on concrete sidewalk to rehab following PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097711 - 180620, per above. ref SDS 0 VTQT  Metatarsalgia pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097712 - foot entire hike.  Slight burning sensation right foot for about 200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097713 - yards.  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097714 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097715 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097716 - South Side to hike against Eastbound traffic flow.  Slight breeze was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097717 - helpful to offset rising temperature above 90.  Did not noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097718 - blister below big toe right foot.  Time mile 4.25 74 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097719 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097720 - however did not turn corner corner and hike 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097721 - Ranch Road during PRP treatment rehab.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097722 - Road uphill to Cowell at slow pace.  With metatarsalgia pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097723 - turned corner onto Cowell and hiked 1 mile back to Treat, then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097724 - home to end 7 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097726 -  ..
097727 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097728 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097729 - Dinner - pasta hamburger celery onion avocado mushrooms asparagus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097730 - chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097732 -  ..
097733 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097737 -         ..
097738 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097739 -  175.  180623 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097740 -               0745....BP HR with Diff........................................... 131  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097741 -               0750....BP HR with Diff........................................... 123  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097742 -               0755....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097743 -               0755... 20 15100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097744 -               0755... 80 80380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097745 -               0000....1000  85000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097746 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097747 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097748 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097749 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097750 -               1000....miles...........   7.0  52.00  114  894 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097751 -               1230....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097752 -               1235....BP HR with Diff........................................... 113  74  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097753 -               1240....BP HR with Diff........................................... 109  75  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097754 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097755 -               1700... 40 33920 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097756 -               1920............ 10 10340  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097757 -               1920............ 10  9930  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097758 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097759 -               2040... 40 14000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097760 -               2120... 1000 1168000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097761 -               2250... 80 80460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097763 -  ..
097764 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097766 -  ..
097767 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097768 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097769 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097770 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097772 -  ..
097773 - Blood pressure okay and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097774 - gastrointestinal drugs last night, and after hiking 3 miles at slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097775 - pace yesterday. per above. ref SDS 0 K17N  BP and heart rate okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097776 - 2 mile walk at normal pace today, with temperatue over  80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097778 -  ..
097779 - Weight - 184 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097780 - today.  Lost 5 pounds hiking 7 miles with normal pace and temerpature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097781 - over 90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097783 -  ..
097784 - Pain medication - none after PRP injection treatment on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097785 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097786 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097787 - Right knee pain level 0 entire hike.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097788 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097789 - foot no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097790 - right foot entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097792 -  ..
097793 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097794 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097795 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097796 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097797 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097799 -  ..
097800 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097801 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097802 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097804 -  ..
097805 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097806 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097807 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097808 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097810 -  ..
097811 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097813 -  ..
097814 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097816 -  ..
097817 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097818 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097819 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097820 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097821 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097822 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097823 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097824 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097825 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097827 -  ..
097828 - Blister right foot below big toe, reported yesterday on 180619, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097829 - above. ref SDS 0 PE6F  Applied neoprene dressing with coutout to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097830 - protect injured area.  This was successful during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097832 -  ..
097833 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097834 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097835 - on PRP treatment on 180620, per above. ref SDS 0 VTQT  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097836 - entire hike wearing Smartwool socks.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097837 - Lactate 12% started OA 180529, per above, ref SDS 0 SPUX, and which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097838 - has also been effective, reported on 180615, per above. ref SDS 0 VSSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097840 -  ..
097841 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097842 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097843 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097844 - entire hike.  Time to 1.25 miles 20 minutes.  Slow pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097845 - hiking on concrete sidewalk to rehab following PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097846 - 180620, per above. ref SDS 0 VTQT  Metatarsalgia pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097847 - foot entire hike.  Slight burning sensation right foot for about 200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097848 - yards.  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097849 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097850 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097851 - South Side to hike against Eastbound traffic flow.  Slight breeze was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097852 - helpful to offset rising temperature above 90.  Did not noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097853 - blister below big toe right foot.  Time mile 4.25 74 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097854 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097855 - however did not turn corner corner and hike 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097856 - Ranch Road during PRP treatment rehab.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097857 - Road uphill to Cowell at slow pace.  With metatarsalgia pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097858 - turned corner onto Cowell and hiked 1 mile back to Treat, then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097859 - home to end 7 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097861 -  ..
097862 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097863 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097864 - Dinner - pasta hamburger celery onion avocado mushrooms asparagus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097865 - chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097867 -  ..
097868 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097872 -         ..
097873 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097874 -  176.  180624 0530..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097875 -               0720....BP HR with Diff........................................... 122  71  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097876 -               0725....BP HR with Diff........................................... 123  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097877 -               0730....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097878 -               0735... 20 15120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097879 -               0735... 80 80540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097880 -               0000....1000  85000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097881 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097882 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097883 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097884 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097885 -               0930....miles...........   7.0  59.00  112 1006 minutes temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097886 -               1145....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097887 -               1150....BP HR with Diff........................................... 107  75  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097888 -               1155....BP HR with Diff........................................... 106  71  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097889 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097890 -               1700... 40 33960 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097891 -             1 0000............ 10 10340  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097892 -             1 0000............ 10  9930  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097893 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097894 -               1940... 40 14040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097895 -               2030... 1000 1169000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097896 -               2210... 80 80620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097898 -  ..
097899 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097901 -  ..
097902 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097903 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097904 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097905 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097907 -  ..
097908 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097909 - gastrointestinal drugs last night, and after hiking 7 miles at slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097910 - pace yesterday. per above. ref SDS 0 BG7L  BP and heart rate okay for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097911 - 7 mile walk at slow pace today, with temperatue over  70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097913 -  ..
097914 - Weight - 182 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097915 - today.  Lost 2 pounds hiking 7 miles with normal pace and temerpature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097916 - over 70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097918 -  ..
097919 - Pain medication - none after PRP injection treatment on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097920 - (returning since 170726, reported in prior case study on 160101 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097921 - ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097922 - Right knee pain level 0 entire hike.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097923 - route.  Right foot plantar plate tear pain level 0 entire hike.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097924 - foot no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097925 - right foot entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097927 -  ..
097928 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097929 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097930 - Right foot plantar plate tear pain level 0 entire hike.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097931 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097932 - route.  Calluses pain level 0 both feet entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097934 -  ..
097935 - Toe caps recommended by Mark Wachter at On-the-Run - did not use on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097936 - left foot ring toe and little toe without dressing for Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097937 - bunion, and did not use on right foot little toe and ring toe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097939 -  ..
097940 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097941 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097942 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097943 - foot pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097945 -  ..
097946 - Plantar plate right foot injury - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097948 -  ..
097949 - Metatarsalgia right foot - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097951 -  ..
097952 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097953 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097954 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097955 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097956 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097957 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097958 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097959 - Today, did not apply protective gel pad with white tape.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097960 - entire hike.  After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097962 -  ..
097963 - Blister right foot below big toe, reported yesterday on 180619, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097964 - above. ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097965 - Lacatate 12% lotion applied last night.  This was successful during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097966 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097968 -  ..
097969 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097970 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097971 - on PRP treatment on 180620, per above. ref SDS 0 VTQT  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097972 - entire hike wearing Smartwool socks.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097973 - Lactate 12% started OA 180529, per above, ref SDS 0 SPUX, and which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097974 - has also been effective, reported on 180615, per above. ref SDS 0 VSSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097976 -  ..
097977 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097978 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097979 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097980 - entire hike.  Time to 1.25 miles 20 minutes.  Slow pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097981 - hiking on concrete sidewalk to rehab following PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097982 - 180620, per above. ref SDS 0 VTQT  Metatarsalgia pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097983 - foot entire hike.  Slight burning sensation right foot for about 200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097984 - yards.  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097985 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097986 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097987 - South Side to hike against Eastbound traffic flow.  Slight breeze was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097988 - helpful to offset rising temperature above 90.  Did not noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097989 - blister below big toe right foot.  Time mile 4.25 74 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097990 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097991 - however did not turn corner corner and hike 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097992 - Ranch Road during PRP treatment rehab.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097993 - Road uphill to Cowell at slow pace.  With metatarsalgia pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097994 - turned corner onto Cowell and hiked 1 mile back to Treat, then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097995 - home to end 7 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097997 -  ..
097998 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097999 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098000 - Dinner - pasta hamburger celery onion avocado mushrooms asparagus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098002 -  ..
098003 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098008 -         ..
098009 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098010 -  177.  180625 0605..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098011 -               0845....BP HR with Diff........................................... 147  83  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098012 -               0850....BP HR with Diff........................................... 132  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098013 -               0855....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098014 -               0855... 20 15140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098015 -               0855... 80 80700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098016 -               0000....1000  85000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098017 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098018 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098019 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098020 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098021 -            *1 0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098022 -               1605... 40 34000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098023 -               1930............ 10 10350  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098024 -               1930............ 10  9940  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098025 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098026 -               2105... 40 14080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098027 -               2130... 1000 1170000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098028 -               2250... 80 80780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098030 -  ..
098031 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098033 -  ..
098034 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098035 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098036 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098037 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098039 -  ..
098040 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098041 - gastrointestinal drugs last night, and after hiking 7 miles at slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098042 - pace yesterday. per above. ref SDS 0 BG7L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098044 -  ..
098045 - Weight - 182 this morning after hiking yesterday, and before hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098046 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098048 -  ..
098049 - Walked around VAMCSF campus today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098051 -  ..
098052 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098053 - Lunch - half sandwich ham cheese lettuce onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098054 - Dinner - grilled cheese sandwich avocado onion tomato cottage cheese,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098055 - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098057 -  ..
098058 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098063 -         ..
098064 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098065 -  178.  180626 0605..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098066 -               0840....BP HR with Diff........................................... 118  71  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098067 -               0845....BP HR with Diff........................................... 125  73  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098068 -               0850....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098069 -               0850... 20 15160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098070 -               0850... 80 80860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098071 -               0850....1000  86000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098072 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098073 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098074 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098075 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098076 -          * cr 0930....miles...........  11.0  11.00  181  181 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098077 -               1345....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098078 -               1355....BP HR with Diff...........................................  91  62 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098079 -               1400....BP HR with Diff...........................................  92  57 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098080 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098081 -               1700... 40 34040 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098082 -             1 0000............ 10 10350  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098083 -             1 0000............ 10  9940  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098084 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098085 -               2105... 40 14120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098086 -               2130... 1000 1180000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098087 -               2250... 80 80940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098089 -  ..
098090 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098092 -  ..
098093 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098094 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098095 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098096 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098098 -  ..
098099 - Blood pressure very good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098100 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098101 - per above. ref SDS 0 ZY4M  BP and heart rate good after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098102 - miles at moderate pace today, with temperatue over  80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098104 -  ..
098105 - Weight - 184 this morning after hiking 0 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098106 - hiking today.  Lost 6 pounds hiking 11 miles with normal pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098107 - temerpature over 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098109 -  ..
098110 - Pain medication - acetaminophen and no NSAID (ibuprofen) after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098111 - injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098112 - prior case study on 160101 0700. ref SDS 37 RYXS  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098113 - foot tailor's bunion entire route.  Right knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098114 - hike.  Left knee pain level 0 entire route.  Right foot plantar plate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098115 - tear pain level 1 after 11 mile on Clayton for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098116 - Right foot no burning sensation entire route, and metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098117 - level 1 right foot after 5 miles somewhere on Crystal Ranch Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098118 - about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098120 -  ..
098121 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098122 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098123 - Right foot plantar plate tear pain level 1 after 11 mile on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098124 - for about .5 miles.  Right foot no burning sensation entire route, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098125 - metatarsalgia pain level 1 right foot after 5 miles somewhere on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098126 - Crystal Ranch Road for about .5 miles.  Calluses big toe left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098127 - pain level 1 going down Rolling Woods Way for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098129 -  ..
098130 - Toe caps recommended by Mark Wachter at On-the-Run - used on both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098131 - ring toe and little toe, but came loose about mile 7.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098133 -  ..
098134 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098135 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098136 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098137 - foot pain level 1 after 11 mile on Clayton for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098139 -  ..
098140 - Plantar plate right foot injury - pain level 1 after 11 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098141 - Clayton for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098143 -  ..
098144 - Metatarsalgia right foot - pain level 1 right foot after 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098145 - somewhere on Crystal Ranch Road for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098147 -  ..
098148 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098149 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098150 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098151 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098152 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098153 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098154 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098155 - Today, pain level 1 going down Rolling Woods Way for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098156 - After hike used Egg Ped tool again to shave down calluses as before.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098157 - Applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098159 -  ..
098160 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098161 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098162 - lotion applied last night.  This was successful during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098164 -  ..
098165 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098166 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098167 - on PRP treatment on 180620, per above. ref SDS 0 VTQT  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098168 - entire hike wearing Smartwool socks.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098169 - Lactate 12% started OA 180529, per above, ref SDS 0 SPUX, and which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098170 - has also been effective, reported on 180615, per above. ref SDS 0 VSSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098172 -  ..
098173 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098174 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098175 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098176 - entire hike.  Time to 1.25 miles 19 minutes.  Slow pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098177 - hiking on concrete sidewalk to rehab following PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098178 - 180620, per above. ref SDS 0 VTQT  Plantar plate right foot pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098179 - 1 after 11 mile on Clayton for about .5 miles.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098180 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098181 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098182 - hike against Eastbound traffic flow.  Strong breeze was helpful to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098183 - offset rising temperature above 80.  Time mile 4.25 72 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098184 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098185 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098186 - pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098187 - ground.  Somewhere along Crystal Ranch Road metatarsalgia right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098188 - pain level 1 for about .5 miles.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098189 - Woods Way slowed pace; both knees still pain level 0 result of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098190 - treatmnet on 180620, per above. ref SDS 0 VTQT  Blisters and calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098191 - minimal, indicating effective protection wearing 1 pair Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098192 - socks received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098193 - Woods Way.  Going up steep hill felt strong - increased pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098194 - miles - pain level 0.  Going downhill slower pace.  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098195 - knee and pain level 0 right knee.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098196 - maintained pace hiked 1 mile on flat ground.  Continued to end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098197 - Hollow, and turned corner onto Ygnacio Valley Road.  Hiked 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098198 - to Crystal Ranch Road.  Continued on Ygnacio Valley Road uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098199 - Cowell at fast pace.  Turned corner onto Cowell and hiked 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098200 - to Treat, then hiked home to end hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098202 -  ..
098203 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098204 - Lunch - half sandwish ham cheese lettuce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098205 - Dinner - lettuce avocado tomato asparagus celery cucumber mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098207 -  ..
098208 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098212 -         ..
098213 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098214 -  179.  180627 0500..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098215 -               0515....BP HR with Diff........................................... 124  72  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098216 -               0520....BP HR with Diff........................................... 129  79  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098217 -               0530....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098218 -               0000... 20 15160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098219 -               0000... 80 80860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098220 -               0000....1000  86000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098221 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098222 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098223 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098224 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098225 -          * cr 0600....miles...........  11.0  22.00  169  350 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098226 -               0925....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098227 -               0935....BP HR with Diff........................................... 103  71  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098228 -               0940....BP HR with Diff...........................................  98  68  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098229 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098230 -               1700... 40 34080 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098231 -               2230............ 10 10360  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098232 -               2230............ 10  9950  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098233 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098234 -               2310... 40 14160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098235 -               2320... 1000 1190000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098236 -               2340... 80 81020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098238 -  ..
098239 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098241 -  ..
098242 - EGD dilation procedure in GI clinic at VAMCSF today, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098243 - another record on 180627 1300. ref SDS 96 1X6F so NPO since midnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098244 - last night.  Procedure completed OA 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098246 -  ..
098247 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098248 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098249 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098250 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098252 -  ..
098253 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098254 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098255 - yesterday. per above. ref SDS 0 5V4J  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098256 - hiking 11 miles at fast pace today, with temperatue over  50.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098258 -  ..
098259 - Weight - 183 this morning after hiking 11 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098260 - hiking today.  Lost 4 pounds hiking 11 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098261 - temerpature over 50.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098263 -  ..
098264 - Pain medication - none because NPO for EGD dilation procedure today at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098265 - 1300.  Can resume acetaminophen and no NSAID (ibuprofen) after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098266 - injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098267 - prior case study on 160101 0700. ref SDS 37 RYXS  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098268 - foot tailor's bunion entire route.  Right knee pain level 2 about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098269 - 6 at bottom of downhill on Crystal Ranch Road; only lasted about 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098270 - yards.  Left knee pain level 2 about mile 7 at bottom of downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098271 - Rolling Woods Way; only last about 100 yards.  Left knee ACL pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098272 - level 1 on downhill Cowell about mile 10; only lasted about 100 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098273 - Right foot plantar plate tear pain level 0 entire route.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098274 - no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098275 - entire route.  Calluses pain level 0 entire route.  Tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098276 - left foot pain level 0 entire route.  Blister right foot below big toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098277 - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098279 -  ..
098280 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098281 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098282 - Right foot plantar plate tear pain level 0 entire route.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098283 - no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098284 - entire route.  Calluses big toes both feet pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098285 - Blister right foot below big toe pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098287 -  ..
098288 - Toe caps recommended by Mark Wachter at On-the-Run - did not use both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098289 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098291 -  ..
098292 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098293 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098294 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098295 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098297 -  ..
098298 - Plantar plate right foot injury - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098300 -  ..
098301 - Metatarsalgia right foot - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098303 -  ..
098304 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098305 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098306 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098307 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098308 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098309 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098310 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098311 - Today, pain level 1 going down Rolling Woods Way for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098312 - After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098314 -  ..
098315 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098316 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098317 - lotion applied last night.  This was successful during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098319 -  ..
098320 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098321 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098322 - on PRP treatment on 180620, per above. ref SDS 0 VTQT  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098323 - entire hike wearing Smartwool socks.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098324 - Lactate 12% started OA 180529, per above, ref SDS 0 SPUX, and which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098325 - has also been effective, reported on 180615, per above. ref SDS 0 VSSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098327 -  ..
098328 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098329 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098330 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098331 - entire hike.  Time to 1.25 miles 19 minutes.  Slow pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098332 - hiking on concrete sidewalk to rehab following PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098333 - 180620, per above. ref SDS 0 VTQT  Plantar plate right foot pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098334 - 0 entire hike.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098335 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098336 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098337 - flow.  Strong breeze going West.  Time mile 4.25 70 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098338 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098339 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098340 - pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098341 - ground.  Going down steep hill toward Rolling Woods Way slowed pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098342 - At bottom of hill left knee pain level 2 for about 30 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098343 - onto Rolling Woods Way.  Going up steep hill right knee pain level 0;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098344 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098345 - downhill slower pace.  Left knee pain level 2 about mile 7 at bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098346 - of downhill on Rolling Woods Way; only last about 100 yards.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098347 - corner onto Pine Hollow and increased pace hiking 1 mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098348 - ground.  Continued to end of Pine Hollow, and turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098349 - Ygnacio Valley Road.  Increased pace hiking 1 mile back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098350 - Ranch Road.  Continued on Ygnacio Valley Road uphill to Cowell at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098351 - pace.  Turned corner onto Cowell and hiked 1 mile back to Treat, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098352 - hiked home to end hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098354 -  ..
098355 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098356 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098357 - Dinner - macaroni cheese tomato squash celery cucumber mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098358 - fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098360 -  ..
098361 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098365 -         ..
098366 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098367 -  180.  180628 0635..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098368 -               0645....BP HR with Diff........................................... 136  64  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098369 -               0650....BP HR with Diff........................................... 133  72  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098370 -               0655....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098371 -               0655... 20 15180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098372 -               0655... 80 81100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098373 -               0000....1000  86000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098374 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098375 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098376 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098377 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098378 -               0900....miles...........  13.0  35.00  202  552 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098379 -               0925....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098380 -               1250....BP HR with Diff........................................... 116  61  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098381 -               1255....BP HR with Diff........................................... 110  55  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098382 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098383 -               2050... 40 34120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098384 -             1 0030............ 10 10360  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098385 -             1 0030............ 10  9950  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098386 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098387 -               2210... 40 14200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098388 -               2220... 1000 1191000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098389 -               2330... 80 81180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098391 -  ..
098392 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098394 -  ..
098395 - EGD dilation procedure in GI clinic at VAMCSF reported in another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098396 - record on 180627 1300. ref SDS 96 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098398 -  ..
098399 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098400 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098401 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098402 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098404 -  ..
098405 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098406 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098407 - yesterday. per above. ref SDS 0 5V4J  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098408 - hiking 11 miles at fast pace today, with temperatue over  50.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098410 -  ..
098411 - Weight - 183 this morning after hiking 11 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098412 - hiking today.  Lost 4 pounds hiking 11 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098413 - temerpature over 50.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098415 -  ..
098416 - Pain medication - none because NPO for EGD dilation procedure today at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098417 - 1300.  Can resume acetaminophen and no NSAID (ibuprofen) after PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098418 - injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098419 - prior case study on 160101 0700. ref SDS 37 RYXS  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098420 - foot tailor's bunion entire route.  Right knee pain level 2 about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098421 - 6 at bottom of downhill on Crystal Ranch Road; only lasted about 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098422 - yards.  Left knee pain level 2 about mile 7 at bottom of downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098423 - Rolling Woods Way; only last about 100 yards.  Left knee ACL pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098424 - level 1 on downhill Cowell about mile 10; only lasted about 100 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098425 - Right foot plantar plate tear pain level 0 entire route.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098426 - no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098427 - entire route.  Calluses pain level 0 entire route.  Tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098428 - left foot pain level 0 entire route.  Blister right foot below big toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098429 - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098431 -  ..
098432 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098433 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098434 - Right foot plantar plate tear pain level 0 entire route.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098435 - no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098436 - entire route.  Calluses big toes both feet pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098437 - Blister right foot below big toe pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098439 -  ..
098440 - Toe caps recommended by Mark Wachter at On-the-Run - did not use both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098441 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098443 -  ..
098444 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098445 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098446 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098447 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098449 -  ..
098450 - Plantar plate right foot injury - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098452 -  ..
098453 - Metatarsalgia right foot - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098455 -  ..
098456 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098457 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098458 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098459 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098460 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098461 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098462 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098463 - Today, pain level 1 going down Rolling Woods Way for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098464 - After hike applied Ammonium Lactate 12% again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098466 -  ..
098467 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098468 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098469 - lotion applied last night.  This was successful during hike.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098470 - Ammonium Lacatate 12% lotion again after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098472 -  ..
098473 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098474 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098475 - on PRP treatment on 180620, per above. ref SDS 0 VTQT  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098476 - entire hike wearing Smartwool socks.  After hike applied Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098477 - Lactate 12% started OA 180529, per above, ref SDS 0 SPUX, and which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098478 - has also been effective, reported on 180615, per above. ref SDS 0 VSSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098480 -  ..
098481 - Hiked Getty Park in Sacramento.  Hiked 4 miles from Kathy's house to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098482 - Getty Park.  Hiked across Sacramento river 31 mile toward Watt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098483 - Avenue overpass.  Returned to Kathy's house for total 13 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098485 -  ..
098486 - Breakfast - oatmeal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098487 - Lunch - half sandwich avocado only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098488 - Dinner - hot dog asparagus fritos beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098490 -  ..
098491 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098496 -         ..
098497 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098498 -  181.  180629 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098499 -               0650....BP HR with Diff........................................... 140  64  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098500 -               0655....BP HR with Diff........................................... 122  66  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098501 -               0700....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098502 -               0700... 20 15200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098503 -               0700... 80 81260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098504 -               0000....1000  86000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098505 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098506 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098507 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098508 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098509 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098510 -               1910... 40 34160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098511 -               2110............ 10 10370  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098512 -               2110............ 10  9960  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098513 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098514 -               2150... 40 14240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098515 -               2210... 1000 1192000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098516 -               2230... 80 81340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098518 -  ..
098519 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098521 -  ..
098522 - EGD dilation procedure in GI clinic at VAMCSF reported in another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098523 - record on 180627 1300. ref SDS 96 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098525 -  ..
098526 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098527 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098528 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098529 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098531 -  ..
098532 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098533 - gastrointestinal drugs last night, and after hiking 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098534 - yesterday. per above. ref SDS 0 FS4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098536 -  ..
098537 - Weight - 181 this morning after hiking 13 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098539 -  ..
098540 - Pain medication - none did not hike today.  Traveling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098542 -  ..
098543 - Hiking - none, traveling to Oregon to visit family.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098545 -  ..
098546 - Breakfast - eggs sausage avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098547 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098548 - Dinner - pork chops salad, hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098550 -  ..
098551 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098555 -         ..
098556 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098557 -  182.  180630 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098558 -               0820....BP HR with Diff........................................... 127  76  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098559 -               0825....BP HR with Diff........................................... 123  68  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098560 -               0830....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098561 -               0830... 20 15200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098562 -               0830... 80 81420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098563 -               0000....1000  86000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098564 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098565 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098566 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098567 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098568 -               0930....miles...........  11.0  46.00  172  724 minutes temp  82 in Oregon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098569 -               1235....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098570 -               1240....BP HR with Diff........................................... 103  58  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098571 -               1245....BP HR with Diff...........................................  97  60  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098572 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098573 -               1340... 40 34200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098574 -             1 0000............ 10 10370  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098575 -             1 0000............ 10  9960  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098576 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098577 -               2330... 40 14240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098578 -               2340... 1000 1192000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098579 -               2350... 80 81340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098581 -  ..
098582 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098584 -  ..
098585 - EGD dilation procedure in GI clinic at VAMCSF reported in another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098586 - record on 180627 1300. ref SDS 96 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098588 -  ..
098589 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098590 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098591 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098592 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098594 -  ..
098595 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098596 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098597 - yesterday. per above. ref SDS 0 5V4J  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098598 - hiking 11 miles at fast pace today, with temperatue over  50.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098600 -  ..
098601 - Weight - 183 this morning after hiking 0 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098602 - hiking today.  Lost 4 pounds hiking 11 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098603 - temerpature over 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098605 -  ..
098606 - Pain medication - none traveling in Oregon today.  Can resume                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098607 - acetaminophen and no NSAID (ibuprofen) after PRP injection treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098608 - on 180620 (returning since 170726, reported in prior case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098609 - 160101 0700. ref SDS 37 RYXS  Pain level 0 left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098610 - entire route.  Right knee pain level 0 entire route.  Left knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098611 - level 0 entire route.  Left knee ACL pain level 0 entire route.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098612 - foot plantar plate tear pain level 0 entire route.  Right foot no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098613 - burning sensation entire route, and metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098614 - route.  Calluses pain level 0 entire route.  Tailor's bunion left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098615 - pain level 0 entire route.  Blister right foot below big toe pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098616 - level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098618 -  ..
098619 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098620 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098621 - Right foot plantar plate tear pain level 0 entire route.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098622 - no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098623 - entire route.  Calluses big toes both feet pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098624 - Blister right foot below big toe pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098626 -  ..
098627 - Toe caps recommended by Mark Wachter at On-the-Run - did not use both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098628 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098630 -  ..
098631 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098632 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098633 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098634 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098636 -  ..
098637 - Plantar plate right foot injury - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098639 -  ..
098640 - Metatarsalgia right foot - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098642 -  ..
098643 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098644 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098645 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098646 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098647 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098648 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098649 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098650 - Today, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098652 -  ..
098653 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098654 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098655 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098656 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098658 -  ..
098659 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098660 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098661 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098662 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098663 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098665 -  ..
098666 - Hiked 11 miles from Motel 6 on Biddle Road in Medford to Patty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098667 - Pablito's home at 210 S Shasta in Eagle Point Oregon.   Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098668 - from Motel 6 to Route 60, then 8 miles on Route 60 from Medford to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098669 - White City, then to to S Shasta in Eagle Point.  There was a wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098670 - shoulder and the route was essentially flat.  Turned onto S Shasta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098671 - and hiked up a long uphill curve.  By then blood vessels were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098672 - dilated, so did not feel duress hiking uphill.  Hiked 1.5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098673 - Patty's house.  There was no shoulder on S Shasta, so navigating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098674 - along the road against vehicle traffic required close attention.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098676 -  ..
098677 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098678 - Lunch - pizza 2 slices                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098679 - Dinner - spaghetti and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098681 -  ..
098682 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098687 -         ..
098688 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098689 -  183.  180701 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098690 -               1000....BP HR with Diff........................................... 127  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098691 -               1005....BP HR with Diff........................................... 123  66  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098692 -               1010....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098693 -               1010... 20 15220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098694 -               1010... 80 81580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098695 -               1010....1000  87000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098696 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098697 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098698 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098699 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098700 -          * cr 0930....miles...........  13.0  59.00  204  928 minutes temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098701 -               1505....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098702 -               1510....BP HR with Diff........................................... 106  67 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098703 -               1515....BP HR with Diff...........................................  94  65 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098704 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098705 -               1640... 40 34240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098706 -               1910............ 10 10380  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098707 -               1910............ 10  9970  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098708 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098709 -               2030... 40 14280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098710 -               2050... 1000 1193000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098711 -               2130... 80 81660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098713 -  ..
098714 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098716 -  ..
098717 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098718 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098719 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098720 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098722 -  ..
098723 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098724 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098725 - yesterday. per above. ref SDS 0 TH9L  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098726 - hiking 13 miles at fast pace today, with temperatue over  80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098728 -  ..
098729 - Weight - 184 this morning after hiking 11 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098730 - hiking today.  Lost 7 pounds hiking 13 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098731 - temerpature over 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098733 -  ..
098734 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098735 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098736 - prior case study on 160101 0700. ref SDS 37 RYXS  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098737 - foot tailor's bunion entire route.  Right knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098738 - route.  Left knee pain level 0 entire route.  Left knee ACL pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098739 - 0 entire route.  Right foot plantar plate tear pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098740 - route.  Right foot no burning sensation entire route, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098741 - metatarsalgia pain level 0 entire route.  Calluses pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098742 - route.  Tailor's bunion left foot pain level 0 entire route.  Blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098743 - right foot below big toe pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098745 -  ..
098746 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098747 - ref SDS 92 9O6X  Pain level 0 left foot tailor's bunion entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098748 - Right foot plantar plate tear pain level 0 entire route.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098749 - no burning sensation entire route, and metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098750 - entire route.  Calluses big toes both feet pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098751 - Blister right foot below big toe pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098753 -  ..
098754 - Toe caps recommended by Mark Wachter at On-the-Run - did not use both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098755 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098757 -  ..
098758 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098759 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098760 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098761 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098763 -  ..
098764 - Plantar plate right foot injury - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098766 -  ..
098767 - Metatarsalgia right foot - pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098769 -  ..
098770 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098771 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098772 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098773 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098774 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098775 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098776 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098777 - Today, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098779 -  ..
098780 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098781 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098782 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098783 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098785 -  ..
098786 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098787 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098788 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098789 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098790 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098792 -  ..
098793 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098794 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098795 - okay.  Wind less severe than yesterday.  Calfs pain level 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098796 - foot tailor's bunion pain level 0 entire hike.  Time to 1.25 miles 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098797 - minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098798 - Metatarsalgia pain level 0 entire hike.  No burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098799 - foot entire hike.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098800 - hike.  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098801 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098802 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098803 - South Side to hike against Eastbound traffic flow.  No headwind today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098804 - so increase pace.  Time mile 4.25 65 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098805 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098806 - corner and hiked 4-mile loop on Crystal Ranch Road.  Fast pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098807 - 1 mile uphill against slight wind.  Saw burned hillsides from fire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098808 - on Friday.  Even grounds surrounding the firestation were charred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098809 - Nearing summit saw burned hillsides on opposite side of the road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098810 - where the fire jumped the road.  Fire spread down into the valley area                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098811 - where cattle graze, but did not burn the entire area.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098812 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098813 - Woods Way slower pace to protect both knees pain level 0 after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098814 - Glucosamine Chondroitin before starting hike, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098815 - 1L5M  May indicate PRP treatments on 170726, and on 180105, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098816 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098817 - feet, indicating effective protection wearing 1 pair Smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098818 - received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098819 - Way.  Going up steep hill felt strong - increased pace for .3 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098820 - pain level 0.  Going downhill slowed pace.  Pain level 0 left knee and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098821 - pain level 0 right knee.  Turned corner onto Pine Hollow and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098822 - pace hiked 1 mile on flat ground.  Continued to end of Pine Hollow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098823 - and turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098824 - Crystal Ranch Road.  Continued on Ygnacio Valley Road uphill to Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098825 - at fast pace.  No hamstring pull right leg today.  Since wind was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098826 - severe, hiked to summit, and then downhill 2 miles to Oak Grove.  Saw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098827 - burned hillsides down to the edge of the road.  This was a big fire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098828 - that seemed to start on the East side of Newall reservoir.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098829 - onto Oak Grove and called Kathy to meet at corner of Treat and Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098830 - Grove.  Hiked 1 mile on Oak Grove.  New pavement is much softer on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098831 - feet and knees.  Met Kathy and ended hike at Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098833 -  ..
098834 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098835 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098836 - Dinner - hot dog potato salad avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098838 -  ..
098839 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098843 -         ..
098844 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098845 -  184.  180702 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098846 -               0810....BP HR with Diff........................................... 130  75  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098847 -               0815....BP HR with Diff........................................... 126  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098848 -               0820....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098849 -               0820... 20 15240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098850 -               0820... 80 81740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098851 -               0820....1000  88000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098852 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098853 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098854 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098855 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098856 -          * cr 0950....miles...........  14.0  14.00  217  217 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098857 -               1345....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098858 -               1350....BP HR with Diff...........................................  93  65 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098859 -               1355....BP HR with Diff........................................... 101  66 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098860 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098861 -               1740... 40 34280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098862 -             1 0000............ 10 10380  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098863 -             1 0000............ 10  9970  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098864 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098865 -               2200... 40 14320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098866 -               2220... 1000 1194000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098867 -               2300... 80 81820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098869 -  ..
098870 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098872 -  ..
098873 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098874 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098875 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098876 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098878 -  ..
098879 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098880 - gastrointestinal drugs last night, and after hiking 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098881 - yesterday. per above. ref SDS 0 F16O  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098882 - hiking 14 miles at fast pace today, with temperatue reaching 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098884 -  ..
098885 - Weight - 182 this morning after hiking 13 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098886 - hiking today.  Lost 6 pounds hiking 14 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098887 - temerpature reaching 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098889 -  ..
098890 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098891 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098892 - prior case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098894 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098895 -                                                    Pain Level  Route
098896 -         ..
098897 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098898 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098899 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098900 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098901 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098902 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098903 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098904 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098907 -  ..
098908 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098909 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098911 -  ..
098912 - Toe caps recommended by Mark Wachter at On-the-Run - did not use both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098913 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098915 -  ..
098916 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098917 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098918 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098919 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098921 -  ..
098922 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098923 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098924 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098925 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098926 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098927 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098928 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098930 -  ..
098931 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098932 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098933 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098934 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098936 -  ..
098937 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098938 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098939 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098940 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098941 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098943 -  ..
098944 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098945 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098946 - okay.  Wind less severe than yesterday.  Calfs pain level 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098947 - foot tailor's bunion pain level 0 entire hike.  Time to 1.25 miles 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098948 - minutes.  Maintained pace on Clayton hiking on concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098949 - Metatarsalgia pain level 0 entire hike.  No burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098950 - foot entire hike.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098951 - hike.  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098952 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098953 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098954 - South Side to hike against Eastbound traffic flow.  No headwind today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098955 - so increase pace.  Time mile 4.25 65 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098956 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098957 - hiked 4-mile loop on Crystal Ranch Road.  Fast pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098958 - uphill against slight wind.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098959 - Going down steep hill toward Rolling Woods Way slower pace to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098960 - both knees pain level 0 after taking Glucosamine Chondroitin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098961 - starting hike, per above. ref SDS 0 1L5M  May indicate PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098962 - on 170726, and on 180105, effective preventing osteoarthritis.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098963 - blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098964 - protection wearing 1 pair Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098965 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098966 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098967 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098968 - knee.  Turned corner onto Pine Hollow and increased pace hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098969 - on flat ground.  Continued to end of Pine Hollow, and turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098970 - onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098971 - Continued on Ygnacio Valley Road uphill to Cowell at fast pace.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098972 - hamstring pull right leg today.  Since wind was not severe, hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098973 - summit, and then downhill 2 miles to Oak Grove.  Turned onto Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098974 - and called Kathy to meet at corner of Treat and Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098975 - mile on Oak Grove.  New pavement is much softer on feet and knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098976 - Kathy was not at Oak Grove and Treat, so continued on Treat for 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098977 - mile.  She picked me up on Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098979 -  ..
098980 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098981 - Lunch - hot dog cottage cheese avocado tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098982 - Dinner - macoroni cheese asparagus onion tuna                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098984 -  ..
098985 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098989 -         ..
098990 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098991 -  185.  180703 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098992 -               0830....BP HR with Diff........................................... 126  69  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098993 -               0835....BP HR with Diff........................................... 124  70  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098994 -               0840....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098995 -               0840... 20 15240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098996 -               0840... 80 81740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098997 -               0840....1000  88000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098998 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098999 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099000 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099001 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099002 -          * cr 0950....miles...........  15.0  29.00  236  453 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099003 -               1520....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099004 -               1525....BP HR with Diff...........................................  93  64 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099005 -               1530....BP HR with Diff...........................................  91  66 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099006 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099007 -               1640... 40 34280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099008 -               1930............ 10 10380  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099009 -               1930............ 10  9970  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099010 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099011 -               2040... 40 14320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099012 -               2040... 1000 1194000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099013 -               2105... 80 81820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099015 -  ..
099016 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099018 -  ..
099019 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099020 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099021 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099022 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099024 -  ..
099025 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099026 - gastrointestinal drugs last night, and after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099027 - yesterday. per above. ref SDS 0 Y87M  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099028 - hiking 15 miles at fast pace today, with temperatue reaching 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099030 -  ..
099031 - Weight - 182 this morning after hiking 14 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099032 - hiking today.  Lost 6 pounds hiking 15 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099033 - temerpature reaching 80.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099035 -  ..
099036 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099037 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099038 - prior case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099040 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099041 -                                                    Pain Level  Route
099042 -         ..
099043 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099044 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099045 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099046 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099047 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099048 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099049 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099050 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099052 -  ..
099053 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099054 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099056 -  ..
099057 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099058 - little toe and ring toe.  These came off about mile 11, so stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099059 - along the road and removed shoe and sock to removed these caps.  Will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099060 - try taping them tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099062 -  ..
099063 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099064 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099065 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099066 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099068 -  ..
099069 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099070 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099071 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099072 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099073 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099074 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099075 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099077 -  ..
099078 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099079 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099080 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099081 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099083 -  ..
099084 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099085 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099086 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099087 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099088 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099090 -  ..
099091 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099092 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099093 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099094 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099095 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099096 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099097 - both feet pain level 0 entire hike.  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099098 - pain level 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099099 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099100 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099101 - flow.  Mild headwind today.  Time mile 4.25 69 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099102 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099103 - corner and hiked 4-mile loop on Crystal Ranch Road.  Fast pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099104 - 1 mile uphill against slight wind.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099105 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099106 - pace to protect both knees pain level 0.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099107 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099108 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099109 - calluses both feet, indicating effective protection wearing 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099110 - Smartwool socks received on 180530 0726, ref SDS 92 9O6X, Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099111 - Rolling Woods Way.  Going up steep hill felt strong - increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099112 - for .3 miles - pain level 0.  Going downhill slowed pace.  Pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099113 - 0 left knee and pain level 0 right knee.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099114 - Hollow and increased pace hiked 1 mile on flat ground.  Continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099115 - end of Pine Hollow, and turned corner onto Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099116 - against stronger wind 1 mile back to Crystal Ranch Road, completing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099117 - 4-mile loop.  Continued on Ygnacio Valley Road uphill to Cowell at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099118 - fast pace.  No hamstring pull right leg today.  Toe caps came loose on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099119 - left shoe, so stopped at steel pole sign post about mile 11.  Sat on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099120 - concrete footing and removed left shoe and sock to remove loose toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099121 - caps.  Replaced shoe and sock and hiked to summit.  Hiked at fast pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099122 - downhill 2 miles to Oak Grove.  Turned onto Oak Grove and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099123 - to Treat.  Turned corner onto Treat and maintained pace.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099124 - pace going uphill on Treat for .5 miles.  Turned onto Cuneo and ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099125 - hike without doing last mile loop, because foot seemed to be slipping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099126 - in left shoe where toe caps were removed, so avoided blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099128 -  ..
099129 - Breakfast - cherrios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099130 - Lunch - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099131 - Dinner - hot dog asparagus potato salad cottage cheese, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099133 -  ..
099134 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099138 -         ..
099139 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099140 -  186.  180704 0930..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099141 -               1010....BP HR with Diff........................................... 131  71  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099142 -               1015....BP HR with Diff........................................... 118  73  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099143 -               1020....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099144 -               1020... 20 15260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099145 -               1020... 80 81900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099146 -               1020....1000  89000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099147 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099148 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099149 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099150 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099151 -          * cr 1130....miles...........  16.0  45.00  251  704 minutes temp 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099152 -               1610....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099153 -               1625....BP HR with Diff...........................................  87  62 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099154 -               1630....BP HR with Diff...........................................  95  60 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099155 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099156 -               1910... 40 34320 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099157 -             1 0000............ 10 10380  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099158 -             1 0000............ 10  9970  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099159 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099160 -               2200... 40 14360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099161 -               2220... 1000  195000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099162 -               2340... 80 81980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099164 -  ..
099165 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099167 -  ..
099168 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099169 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099170 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099171 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099173 -  ..
099174 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099175 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099176 - yesterday. per above. ref SDS 0 GH6I  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099177 - hiking 16 miles at fast pace today, with temperatue reaching 72.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099179 -  ..
099180 - Weight - 181 this morning after hiking 15 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099181 - hiking today.  Lost 6 pounds hiking 16 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099182 - temerpature reaching 72.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099184 -  ..
099185 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099186 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099187 - prior case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099189 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099190 -                                                    Pain Level  Route
099191 -         ..
099192 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099193 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099194 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099195 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099196 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099197 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099198 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099199 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099200 -        Hip left.....................................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099201 -        Hip right....................................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099203 -  ..
099204 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099205 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099207 -  ..
099208 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099209 - little toe and ring toe.  These came off yesterday on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099210 - above, ref SDS 0 XRYQ, so taped them today.  This worked well - caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099211 - stayed in place and protected toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099213 -  ..
099214 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099215 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099216 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099217 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099219 -  ..
099220 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099221 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099222 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099223 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099224 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099225 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099226 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099228 -  ..
099229 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099230 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099231 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099232 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099234 -  ..
099235 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099236 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099237 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099238 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099239 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099241 -  ..
099242 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099243 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099244 - Calfs pain level 0.  Left foot tailor's bunion pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099245 - hike.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099246 - hiking concrete sidewalk.  Metatarsalgia pain level 0 entire hike.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099247 - burning sensation right foot entire hike.  Calluses big toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099248 - pain level 0 entire hike.  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099249 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099250 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099251 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099252 - headwind today.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099253 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099254 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099255 - uphill.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099256 - hill toward Rolling Woods Way slower pace to protect knees pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099257 - 0.  Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099258 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099259 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099260 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099261 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099262 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099263 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099264 - knee.  Turned corner onto Pine Hollow and increased pace hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099265 - on flat ground.  Continued to end of Pine Hollow, and turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099266 - onto Ygnacio Valley Road.  Hiked against stronger wind 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099267 - Crystal Ranch Road, completing 4-mile loop.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099268 - Valley Road uphill to Cowell at fast pace.  Along this section, a car                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099269 - passed going East and honked 4 or 5 times.  Looked up and saw the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099270 - driver waving wildly for my attention.  Could not make out who it was,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099271 - because of the speed, but raised my arm and waved back.  No hamstring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099272 - pull right leg today.  Toe caps stayed in place today.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099273 - summit - felt left hip pain level 2 for about .25 miles due to slope                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099274 - of pavement.  Hiked downhill 2 miles to Oak Grove against very strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099275 - wind.  Had to remove hat because wind was blowing brim into eyes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099276 - Turned onto Oak Grove and hiked 1 mile to Treat - felt right hip pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099277 - level 2 for about .25 miles due to slope of pavement.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099278 - onto Treat and maintained pace.  Felt strong so increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099279 - uphill on Treat for .5 miles.  Turned onto Cuneo.  Hiked another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099280 - to Kaski, then Cowell, then Treat and back to Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099282 -  ..
099283 - Breakfast - cherrios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099284 - Lunch - ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099285 - Dinner - hot dog lettuce brocolli onion avocado tomato cottage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099286 - cheese, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099288 -  ..
099289 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099292 -         ..
099293 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099294 -  187.  180705 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099295 -               0845....BP HR with Diff........................................... 122  66  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099296 -               0850....BP HR with Diff........................................... 120  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099297 -               0855....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099298 -               0855... 20 15280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099299 -               0855... 80 82060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099300 -               0855....1000  90000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099301 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099302 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099303 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099304 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099305 -          * cr 1100....miles...........  11.0  56.00  175  879 minutes temp 82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099306 -               1430....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099307 -               1435....BP HR with Diff........................................... 102  62  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099308 -               1440....BP HR with Diff........................................... 111  72  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099309 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099310 -               1720... 40 34360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099311 -               1930............ 10 10390  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099312 -               1930............ 10  9980  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099313 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099314 -               2040... 40 14400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099315 -               2040... 1000  196000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099316 -               2210... 80 82140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099318 -  ..
099319 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099321 -  ..
099322 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099323 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099324 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099325 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099327 -  ..
099328 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099329 - gastrointestinal drugs last night, and after hiking 16 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099330 - yesterday. per above. ref SDS 0 647O  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099331 - hiking 11 miles at fast pace today, with temperatue reaching 72.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099333 -  ..
099334 - Weight - 181 this morning after hiking 16 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099335 - hiking today.  Lost 4 pounds hiking 11 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099336 - temerpature reaching 82.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099338 -  ..
099339 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099340 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099341 - prior case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099343 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099344 -                                                    Pain Level  Route
099345 -         ..
099346 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099347 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099348 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099349 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099350 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099351 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099352 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099353 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099354 -        Left knee....................................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099355 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099356 -        Hip left.....................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099357 -        Hip right....................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099359 -  ..
099360 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099361 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099363 -  ..
099364 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099365 - little toe and ring toe.  These came off yesterday on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099366 - above, ref SDS 0 XRYQ, so taped them today.  This worked well - caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099367 - stayed in place and protected toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099369 -  ..
099370 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099371 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099372 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099373 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099375 -  ..
099376 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099377 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099378 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099379 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099380 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099381 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099382 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099384 -  ..
099385 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099386 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099387 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099388 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099390 -  ..
099391 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099392 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099393 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099394 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099395 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099397 -  ..
099398 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099399 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099400 - Calfs pain level 0.  Left foot tailor's bunion pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099401 - hike.  Time to 1.25 miles 19 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099402 - hiking concrete sidewalk.  Metatarsalgia pain level 0 entire hike.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099403 - burning sensation right foot entire hike.  Calluses big toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099404 - pain level 0 entire hike.  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099405 - 0.  About mile 2.8 car was exiting from parking for In Shape gym,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099406 - passing next to Hospice.  The driver rolled down her window, smiled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099407 - and said "God bless you!  You are amazing hiking all the miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099408 - everyday all around town.  You are an inspiration to me in the gym." I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099409 - was talking to Kathy on the cellphone at this time, so I just waved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099410 - and said thank you.  The woman turned onto Clayton and drove off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099411 - Kathy heard this comment.  She laughed and said "You inspire a lot of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099412 - people Rod." Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099413 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099414 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099415 - flow.  Mild headwind today.  Time mile 4.25 69 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099416 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099417 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099418 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099419 - down steep hill toward Rolling Woods Way slower pace to protect knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099420 - pain level 0.  Indicates PRP treatments on 170726, 180105, and most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099421 - recently on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099422 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099423 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099424 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099425 - steep hill felt strong - increased pace for .3 miles - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099426 - Going downhill slowed pace.  Pain level 0 left knee and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099427 - right knee.  Turned corner onto Pine Hollow and increased pace hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099428 - mile on flat ground.  Continued to end of Pine Hollow.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099429 - Union 76 Station to remove toe caps, which had come loose.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099430 - on Ygnacio Valley Road.  Hiked against strong wind 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099431 - Crystal Ranch Road, completing 4-mile loop.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099432 - Valley Road uphill to Cowell at fast pace.  Felt left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099433 - 1, so turned corner and hiked 1 mile on Cowell back to Treat and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099434 - .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099436 -  ..
099437 - Breakfast - cherrios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099438 - Lunch - ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099439 - Dinner - hot dog pasta hamburger asparagus onion potato salad all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099440 - mixed togeter - ate half and will the rest tomorrow; half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099441 - balogna onion cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099443 -  ..
099444 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099448 -         ..
099449 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099450 -  188.  180706 0910..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099451 -               0955....BP HR with Diff........................................... 128  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099452 -               1000....BP HR with Diff........................................... 122  69  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099453 -               1005....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099454 -               1005... 20 15280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099455 -               1005... 80 82060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099456 -               1005....1000  90000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099457 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099458 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099459 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099460 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099461 -          * cr 1250....miles...........  11.0  67.00  171 1050 minutes temp 91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099462 -               1605....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099463 -               1615....BP HR with Diff........................................... 102  67 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099464 -               1620....BP HR with Diff........................................... 102  66 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099465 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099466 -               1640... 40 34360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099467 -             1 0000............ 10 10390  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099468 -             1 0000............ 10  9980  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099469 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099470 -               2020... 40 14400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099471 -               2020... 1000  196000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099472 -               2220... 80 82140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099474 -  ..
099475 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099477 -  ..
099478 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099479 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099480 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099481 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099483 -  ..
099484 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099485 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099486 - yesterday. per above. ref SDS 0 F23F  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099487 - hiking 11 miles at fast pace today, with temperatue reaching 72.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099489 -  ..
099490 - Weight - 182 this morning after hiking 11 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099491 - hiking today.  Lost 4 pounds hiking 11 miles with fast pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099492 - temerpature reaching 82.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099494 -  ..
099495 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099496 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099497 - prior case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099499 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099500 -                                                    Pain Level  Route
099501 -         ..
099502 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099503 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099504 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099505 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099506 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099507 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099508 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099509 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099510 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099511 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099512 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099513 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099515 -  ..
099516 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099517 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099519 -  ..
099520 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099521 - little toe and ring toe.  These came off yesterday on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099522 - above, ref SDS 0 XRYQ, so taped them today.  This worked well - caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099523 - stayed in place and protected toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099525 -  ..
099526 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099527 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099528 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099529 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099531 -  ..
099532 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099533 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099534 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099535 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099536 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099537 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099538 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099540 -  ..
099541 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099542 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099543 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099544 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099546 -  ..
099547 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099548 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099549 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099550 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099551 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099553 -  ..
099554 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099555 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099556 - Calfs pain level 0.  Left foot tailor's bunion pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099557 - hike.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099558 - hiking concrete sidewalk.  Metatarsalgia pain level 0 entire hike.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099559 - burning sensation right foot entire hike.  Calluses big toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099560 - pain level 0 entire hike.  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099561 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099562 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099563 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099564 - headwind today.  Time mile 4.25 70 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099565 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099566 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099567 - uphill.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099568 - hill toward Rolling Woods Way slower pace to protect knees pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099569 - 0.  Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099570 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099571 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099572 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099573 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099574 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099575 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099576 - knee.  Turned corner onto Pine Hollow and increased pace hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099577 - on flat ground.  Continued to end of Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099578 - Ygnacio Valley Road.  Hiked against mild wind 1 mile back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099579 - Ranch Road, completing 4-mile loop.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099580 - uphill to Cowell at fast pace.  Seemed tired so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099581 - hiked 1 mile on Cowell back to Treat and then .5 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099583 -  ..
099584 - Breakfast - cherrios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099585 - Lunch - ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099586 - Dinner - hot dog pasta hamburger asparagus onion potato salad all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099587 - mixed togeter - ate half and will the rest tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099589 -  ..
099590 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099594 -         ..
099595 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099596 -  189.  180707 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099597 -               0905....BP HR with Diff........................................... 116  70  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099598 -               0910....BP HR with Diff........................................... 115  64  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099599 -               0915....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099600 -               0915... 20 15300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099601 -               0915... 80 82220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099602 -               0915....1000  91000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099603 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099604 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099605 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099606 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099607 -          * cr 1105....miles...........  15.0  82.00  240 1043 minutes temp  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099608 -               1525....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099609 -               1535....BP HR with Diff...........................................  96  74 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099610 -               1540....BP HR with Diff........................................... 100  76 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099611 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099612 -               1700... 40 34400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099613 -               2100............ 10 10400  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099614 -               2100............ 10  9990  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099615 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099616 -               2020... 40 14440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099617 -               2020... 1000  197000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099618 -               2220... 80 82300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099620 -  ..
099621 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099623 -  ..
099624 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099625 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099626 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099627 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099629 -  ..
099630 - Blood pressure good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099631 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099632 - yesterday. per above. ref SDS 0 F23F  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099633 - hiking 15 miles at moderate pace today, with temperatue reaching 97.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099635 -  ..
099636 - BPPV - dizziness - seem slightly off balance/wobbly this morning after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099637 - getting up from bed.  Symptoms seem to linger longer than 10 seconds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099638 - that characterized prior attacks, reported in another record today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099639 - 180707 0827. ref SDS 97 RS5F  Sent letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099640 - meeting for further treatment. ref SDS 97 U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099642 -  ..
099643 - Weight - 182 this morning after hiking 11 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099644 - hiking today.  Lost 8 pounds hiking 15 miles with moderate pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099645 - temerpature reaching 97.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099647 -  ..
099648 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099649 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099650 - prior case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099652 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099653 -                                                    Pain Level  Route
099654 -         ..
099655 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099656 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099657 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099658 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099659 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099660 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099661 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099662 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099663 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099664 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099665 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099666 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099668 -  ..
099669 - Peripheral neuropathy right foot recurrence, similar to severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099670 - episodes when taking Rosuvastatin in 2012.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099672 -  ..
099673 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099674 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099676 -  ..
099677 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099678 - little toe and ring toe.  These came off yesterday on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099679 - above, ref SDS 0 XRYQ, so taped them today.  This worked well - caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099680 - stayed in place and protected toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099682 -  ..
099683 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099684 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099685 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099686 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099688 -  ..
099689 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099690 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099691 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099692 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099693 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099694 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099695 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099696 - Today, on 180707 used Egg Ped tool to shave calluses again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099698 -  ..
099699 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099700 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099701 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099702 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099704 -  ..
099705 - Left knee - better today, did not feel pain entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099707 -  ..
099708 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099709 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099710 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099711 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099712 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099714 -  ..
099715 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099716 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099717 - Calfs pain level 0.  Left foot tailor's bunion pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099718 - hike.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099719 - hiking concrete sidewalk.  Metatarsalgia pain level 0 entire hike.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099720 - burning sensation right foot entire hike.  Calluses big toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099721 - pain level 0 entire hike, because of maintenance this morning, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099722 - above. ref SDS 0 XXXX  Right foot plantar plate injury pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099723 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099724 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099725 - North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099726 - headwind today.  Time mile 4.25 70 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099727 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099728 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099729 - uphill.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099730 - hill toward Rolling Woods Way slower pace to protect knees pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099731 - 0.  Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099732 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099733 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099734 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099735 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099736 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099737 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099738 - knee.  Turned corner onto Pine Hollow and maintained slower pace due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099739 - to rising heat at 97.  Hiked 1 mile on flat ground.  Continued to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099740 - of Pine Hollow.  Stopped at Texaco gas station and bought large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099741 - carbonated beverage with ice.  Drank about 30% to rehydrate in high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099742 - temperature.  Continued on Ygnacio Valley Road.  Hiked against mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099743 - wind 1 mile back to Crystal Ranch Road, completing 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099744 - Continued on Ygnacio Valley Road uphill to Cowell.  Continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099745 - summit, and then hiked 2 miles to Oak Grove.  Turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099746 - about 1 mile on flat ground, then .5 miles uphill at slow pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099747 - feeling effects of temperature 97.  Turned on Cuneo and did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099748 - last mile loop.  Ended hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099750 -  ..
099751 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099752 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099753 - Dinner - salmon celery onion avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099755 -  ..
099756 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099760 -         ..
099761 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099762 -  190.  180708 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099763 -               0725....BP HR with Diff........................................... 121  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099764 -               0730....BP HR with Diff........................................... 118  69  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099765 -               0735....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099766 -               0735... 20 15300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099767 -               0735... 80 82220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099768 -               0735....1000  91000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099769 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099770 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099771 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099772 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099773 -          * cr 0910....miles...........  13.0  95.00  206 1249 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099774 -               1310....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099775 -               1320....BP HR with Diff........................................... 107  75  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099776 -               1325....BP HR with Diff........................................... 107  74  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099777 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099778 -               1700... 40 34400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099779 -             1 0000............ 10 10400  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099780 -             1 0000............ 10  9990  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099781 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099782 -               2010... 40 14440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099783 -               2020... 1000  197000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099784 -               2150... 80 82300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099786 -  ..
099787 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099789 -  ..
099790 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099791 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099792 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099793 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099795 -  ..
099796 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099797 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099798 - yesterday. per above. ref SDS 0 6E3K  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099799 - hiking 13 miles at moderate pace today, with temperatue reaching 88.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099801 -  ..
099802 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099803 - after getting up from bed.  Yesterday, on 180707, sent letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099804 - Doctor Wiseman requesting meeting for further treatment. ref SDS 97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099805 - U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099807 -  ..
099808 - Weight - 182 this morning after hiking 11 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099809 - hiking today.  Lost 6 pounds hiking 13 miles with moderate pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099810 - temerpature reaching 88.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099812 -  ..
099813 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099814 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099815 - prior case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099817 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099818 -                                                    Pain Level  Route
099819 -         ..
099820 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099821 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099822 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099823 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099824 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099825 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099826 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099827 -        Burning sensation right foot.................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099828 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099829 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099830 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099831 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099834 -  ..
099835 - Peripheral neuropathy right foot recurrence, similar to severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099836 - episodes after increasing Rosuvastatin from 10 to 10 mg on 120514                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099837 - 1300. ref SDS 14 6S9I  Episode today, occurred after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099838 - atorvastatin 10 mg and ezetimibe 10 mg last night, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099839 - ref SDS 0 6E3K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099841 -  ..
099842 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099843 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099845 -  ..
099846 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099847 - little toe and ring toe.  These came off yesterday on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099848 - above, ref SDS 0 XRYQ, so taped them today.  This worked well - caps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099849 - stayed in place and protected toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099851 -  ..
099852 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099853 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099854 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099855 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099857 -  ..
099858 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099859 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099860 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099861 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099862 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099863 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099864 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099865 - On 180707 used Egg Ped tool to shave calluses again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099867 -  ..
099868 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099869 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099870 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099871 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099873 -  ..
099874 - Left knee - better today, did not feel pain entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099876 -  ..
099877 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099878 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099879 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099880 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099881 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099883 -  ..
099884 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099885 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099886 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099887 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099888 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099889 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099890 - both feet pain level 0 entire hike, because of maintenance this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099891 - morning, per above. ref SDS 0 XXXX  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099892 - pain level 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099893 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099894 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099895 - flow.  Mild headwind today.  Time mile 4.25 70 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099896 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099897 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099898 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099899 - down steep hill toward Rolling Woods Way slower pace to protect knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099900 - pain level 0.  Indicates PRP treatments on 170726, 180105, and most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099901 - recently on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099902 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099903 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099904 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099905 - steep hill felt strong - increased pace for .3 miles - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099906 - Going downhill slowed pace.  Pain level 0 left knee and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099907 - right knee.  Turned corner onto Pine Hollow and maintained slower pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099908 - due to rising heat at 97.  Hiked 1 mile on flat ground.  Continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099909 - end of Pine Hollow.  Turned corner onto Ygnacio Valley Road.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099910 - mile back to Crystal Ranch Road, completing 4-mile loop.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099911 - Ygnacio Valley Road uphill past Cowell to summit.  Then hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099912 - to Oak Grove.  Turned corner and called Kathy for ride home.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099913 - about 1 mile to corner of Oak Grove and Treat.  Met Kathy and drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099914 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099916 -  ..
099917 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099918 - Lunch - half hamburger fries - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099919 - Dinner - eggs asparagus onion avocado hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099921 -  ..
099922 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099926 -         ..
099927 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099928 -  191.  180709 0240..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099929 -               0305....BP HR with Diff........................................... 150  81  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099930 -               0310....BP HR with Diff........................................... 132  76  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099931 -               0315....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099932 -               0315... 20 15320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099933 -               0315... 80 82380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099934 -               0315....1000  92000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099935 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099936 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099937 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099938 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099939 -          * cr 0555....miles...........  12.0  12.00  186  186 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099940 -               0750....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099941 -               1830....BP HR with Diff........................................... 143  63  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099942 -               1835....BP HR with Diff........................................... 138  64  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099943 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099944 -               1900... 40 34400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099945 -               2100............ 10 10410  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099946 -               2100............ 10 10000  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099947 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099948 -               2140... 40 14520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099949 -               2210... 1000  198000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099950 -               2230... 80 82460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099952 -  ..
099953 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099955 -  ..
099956 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099957 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099958 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099959 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099961 -  ..
099962 - Blood pressure okay and heart rate poor today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099963 - gastrointestinal drugs last night, and after hiking 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099964 - yesterday. per above, ref SDS 0 1L4H, and after only 4 hours sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099965 - BP and heart rate good after hiking 13 miles at moderate pace today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099966 - with temperatue reaching 88.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099968 -  ..
099969 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099970 - after getting up from bed.  Yesterday, on 180707, sent letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099971 - Doctor Wiseman requesting meeting for further treatment. ref SDS 97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099972 - U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099974 -  ..
099975 - Weight - 182 this morning after hiking 11 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099976 - hiking today.  Lost 6 pounds hiking 13 miles with moderate pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099977 - temerpature reaching 88.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099979 -  ..
099980 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099981 - PRP injection treatment on 180620 (returning since 170726, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099982 - prior case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099984 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099985 -                                                    Pain Level  Route
099986 -         ..
099987 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099988 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099989 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099990 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099991 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099992 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099993 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099994 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099995 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099996 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099997 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099998 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099999 -        Peripheral neruopathy........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100001 -  ..
100002 - Peripheral neuropathy right foot did not recurr today, as it did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100003 - yesterday, per above, ref SDS 0 YPTV, and citing prior severe episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100004 - after increasing Rosuvastatin from 10 to 10 mg on 120514 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100005 - ref SDS 14 6S9I  Non-episode today, occurred after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100006 - atorvastatin 10 mg and ezetimibe 10 mg last night, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100007 - ref SDS 0 1L4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100009 -  ..
100010 - Socks - continue wear 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100011 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100013 -  ..
100014 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100015 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100017 -  ..
100018 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100019 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100020 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100021 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100023 -  ..
100024 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100025 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100026 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100027 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100028 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100029 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100030 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100031 - On 180707 used Egg Ped tool to shave calluses again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100033 -  ..
100034 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100035 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100036 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100037 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100039 -  ..
100040 - Left knee - better today, did not feel pain entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100042 -  ..
100043 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100044 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100045 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100046 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100047 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100049 -  ..
100050 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100051 - Weather was good:  cool with only slight breeze from the ocean.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100052 - traffic at 0500, so could hike on asphault paved street, rather than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100053 - hard concrete sidewalk.  Already getting light, so could see the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100054 - ocean.  Walking downhill from the VA on 42nd street, to Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100055 - both knees pain level 0.  Had to sidestep a racoon.  Wasn't sure if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100056 - there was danger, so said "scat!", to get the racoon to move.  It just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100057 - staired up, as if to say "Got anything to eat?" Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100058 - Point Lobos was able to go faster downhill to Cliff House, than on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100059 - prior hikes because knees and feet responding well to PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100060 - treatment on 180620 1530. ref SDS 94 0001  Continued downhill to The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100061 - Great Highway along Ocean Beach.  Hiked on flat ground along Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100062 - Highway to JFK drive.  Turned corner onto JFK and maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100063 - going slightly uphill into the park.  Sun already coming up, so could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100064 - see the road, trees, etc.  Hiked past Buffalo compound, but could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100065 - see any buffalo.  About mile 4 going past Lindley Meadow then Hellman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100066 - Hollow a guy crossed the street ahead of me to the other side of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100067 - street and headed East in the same direction.  He was about 10 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100068 - ahead.  Increased the pace and raced him for .5 miles, then began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100069 - pulling ahead over the next .5 miles.  Fun race.  Beginning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100070 - encounter few bikers and runners, going the other way (West) out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100071 - toward the ocean.  Most are on the other side of the street.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100072 - reaching De Young Museum about mile 5 still pain level 0 all issues.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100073 - Nearing the end of JFK Drive, crossed the street to make left turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100074 - onto Stanyon.  Hiked uphill on Stanyon several blocks to Fulton;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100075 - crossed over and hiked few more blocks downhill to Paramont street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100076 - across from Koret Health and Recreation Center, part of USF.  Touched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100077 - the wall at Ann's house - time about 0625.  Turned and started back -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100078 - still pain level 0.  Morning commute traffic is now steady flow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100079 - through park on JFK.  Hiked on South side against traffic going West.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100080 - Passing De Young Museum increased pace - feeling very good.  Nearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100081 - the overhead bridge first heard and then saw the waterfall had been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100082 - activated for the day at OA 0700.  Hiked under the bridge at 19th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100083 - Avenue, and past Helman Hollow.  Continuing past the Buffalow crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100084 - over to North side of JFK going with traffic.  The ocean was a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100085 - beautiful sight.  Weather was so good there were already quite a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100086 - people out on the beach near the water.  Hiked North toward the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100087 - House and the hospital.  Maintained pace hiking up the steep hill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100088 - the Cliff House turned onto Point Lobos going East.  Hiked this steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100089 - part of the route well.   Felt strong continuning uphill to 42nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100090 - street - never broke stride.  Turned onto 42nd street and maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100091 - pace going up final steep hill to the VA hospital campus.  Good hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100092 - with good pace all the way.  Did warm down hike once around parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100093 - lot in front of the hospital.  Noticed no evident pain in feet nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100094 - knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100096 -  ..
100097 - Breakfast - cherrios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100098 - Lunch - half hamburger fries - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100099 - Dinner - pork chop apple sause squash mashed potatoes avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100100 - ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100102 -  ..
100103 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100107 -         ..
100108 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100109 -  192.  180710 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100110 -               0720....BP HR with Diff........................................... 138  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100111 -               0725....BP HR with Diff........................................... 132  65  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100112 -               0730....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100113 -               0730... 20 15340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100114 -               0730... 80 82540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100115 -               0730....1000  93000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100116 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100117 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100118 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100119 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100120 -               0830....miles...........  14.0  26.00  223  409 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100121 -               1255....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100122 -               1300....BP HR with Diff........................................... 109  66  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100123 -               1305....BP HR with Diff........................................... 112  69  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100124 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100125 -               1700... 40 34440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100126 -             1 0000............ 10 10410  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100127 -             1 0000............ 10 10000  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100128 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100129 -               2140... 40 14560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100130 -               2210... 1000  199000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100131 -               2230... 80 82620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100133 -  ..
100134 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100136 -  ..
100137 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100138 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100139 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100140 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100142 -  ..
100143 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100144 - gastrointestinal drugs last night, and after hiking 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100145 - yesterday. per above, ref SDS 0 Y46J; BP and heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100146 - hiking 14 miles at moderate pace today, with temperatue reaching 90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100148 -  ..
100149 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100150 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100151 - requesting meeting for further treatment. ref SDS 97 U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100153 -  ..
100154 - Weight - 183 this morning after hiking 12 miles yesterday, and before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100155 - hiking today.  Lost 6 pounds hiking 14 miles with good pace and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100156 - temerpature reaching 90.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100158 -  ..
100159 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100160 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100162 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100163 -                                                    Pain Level  Route
100164 -         ..
100165 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100166 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100167 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100168 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100169 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100170 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100171 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100172 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100173 -        Left knee....................................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100174 -        Right knee...................................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100175 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100176 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100177 -        Peripheral neruopathy right foot.............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100179 -  ..
100180 - Peripheral neuropathy right foot began recurring several days ago on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100181 - 180708, per above, ref SDS 0 YPTV, and citing prior severe episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100182 - after increasing Rosuvastatin from 10 to 20 mg on 120514 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100183 - ref SDS 14 6S9I  Did recurr again today, as it did 2 days ago on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100184 - 180708, per above, ref SDS 0 1L4H, and today after hiking about 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100185 - miles; only lasted .5 mile, then subsided.  Episode today, occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100186 - after again taking atorvastatin 10 mg and ezetimibe 10 mg last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100187 - per above. ref SDS 0 Y46J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100189 -  ..
100190 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100191 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100193 -  ..
100194 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100195 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100197 -  ..
100198 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100199 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100200 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100201 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100203 -  ..
100204 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100205 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100206 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100207 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100208 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100209 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100210 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100211 - On 180707 used Egg Ped tool to shave calluses again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100213 -  ..
100214 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100215 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100216 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100217 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100219 -  ..
100220 - Left knee - better today, did not feel pain entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100222 -  ..
100223 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100224 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100225 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100226 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100227 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100229 -  ..
100230 - Hiked Getty Park in Sacramento - 1 mile from Kathy's house on Mayhew                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100231 - to Folsom.  2 miles on Folsom to Rod Boudry, then 1 mile into Getty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100232 - Park.  Hiked across Sacramento river 6 miles to suspension bridge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100233 - that crosses American River into campus of Sacramento State college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100234 - then hiked College Drive to Folsom Boulevard.  Hiked 2 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100235 - Folsom and Kathy met me near Kiefer and Folsom.  Total 14 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100237 -  ..
100238 - Breakfast - oats with acetahminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100239 - Lunch - Half sandwich baloney avocado cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100240 - Dinner - pasta hamburger onion celery cheese squash, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100242 -  ..
100243 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100247 -         ..
100248 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100249 -  193.  180711 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100250 -               0735....BP HR with Diff........................................... 152  77  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100251 -               0740....BP HR with Diff........................................... 134  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100252 -               0745....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100253 -               0745... 20 15360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100254 -               0745... 80 82700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100255 -               0745....1000  94000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100256 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100257 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100258 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100259 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100260 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100261 -               1710... 40 34480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100262 -               1900............ 10 10420  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100263 -               1900............ 10 10010  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100264 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100265 -               1950... 40 14600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100266 -               2010... 1000  200000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100267 -               2020... 80 82780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100269 -  ..
100270 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100272 -  ..
100273 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100274 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100275 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100276 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100278 -  ..
100279 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100280 - gastrointestinal drugs last night, and after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100281 - yesterday. per above. ref SDS 0 7G4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100283 -  ..
100284 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100285 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100286 - requesting meeting for further treatment. ref SDS 97 U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100288 -  ..
100289 - Weight - 182 this morning after hiking 14 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100291 -  ..
100292 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100293 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100295 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100296 -                                                    Pain Level  Route
100297 -         ..
100298 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100299 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100300 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100301 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100302 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100303 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100304 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100305 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100306 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100307 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100308 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100309 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100310 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100312 -  ..
100313 - Peripheral neuropathy right foot began recurring several days ago on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100314 - 180708, per above, ref SDS 0 YPTV, and citing prior severe episodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100315 - after increasing Rosuvastatin from 10 to 20 mg on 120514 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100316 - ref SDS 14 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100318 -  ..
100319 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100320 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100322 -  ..
100323 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100324 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100326 -  ..
100327 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100328 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100329 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100330 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100332 -  ..
100333 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100334 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100335 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100336 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100337 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100338 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100339 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100340 - On 180707 used Egg Ped tool to shave calluses again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100342 -  ..
100343 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100344 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100345 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100346 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100348 -  ..
100349 - Left knee - better today, did not feel pain entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100351 -  ..
100352 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100353 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100354 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100355 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100356 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100358 -  ..
100359 - Hiking - none, rest for hiking half-way to Half Dome tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100361 -  ..
100362 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100363 - Lunch - oats                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100364 - Dinner - pasta hamburger onion celery cheese asparagus, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100366 -  ..
100367 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100381 -  ..
100382 - Medication and blood pressure study correlating contraction LESV on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100383 - 170331 1400. ref SDS 55 PE7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100385 -              F:\05\00003\SM\CC\CHMG\FNGC\CJGK\achalasia_meds_lesv.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100389 -         ..
100390 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100391 -  194.  180712 0200..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100392 -               0220....BP HR with Diff........................................... 150  71  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100393 -               0225....BP HR with Diff........................................... 143  70  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100394 -               0230....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100395 -               0650... 20 15380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100396 -               0650... 80 82860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100397 -               0650....1000  96000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100398 -               0640....miles...........  16.0  42.00  284  693 minutes temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100399 -               1255....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100400 -               1300....1000  97000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100401 -               1820....BP HR with Diff........................................... 132  70  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100402 -               1825....BP HR with Diff........................................... 126  74  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100403 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100404 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100405 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100406 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100407 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100408 -               1710... 40 34480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100409 -             1 0000............ 10 10420  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100410 -             1 0000............ 10 10010  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100411 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100412 -               1950... 40 14640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100413 -               2020... 1000  201000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100414 -               2050... 80 82940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100416 -  ..
100417 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100419 -  ..
100420 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100421 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100422 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100423 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100425 -  ..
100426 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100427 - gastrointestinal drugs last night, and after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100428 - yesterday. per above. ref SDS 0 7G4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100430 -  ..
100431 - BPPV - dizziness - On 180707, sent letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100432 - meeting for further treatment. ref SDS 97 U13F  During hike today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100433 - seemed at least light headed, but no actual dizziness and no falls                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100434 - during hike to Nevada Falls and on through Little Yosemite Valley.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100435 - Numerous times lost balance from awkward footing on irrebular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100436 - terraine, but always made corrections to avoid falls on 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100438 -  ..
100439 - Weight - 181 this morning after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100441 -  ..
100442 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100443 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O  Very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100444 - fortunate to be pain free for specific issues after hiking Half Dome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100445 - trail for 16 miles today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100447 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100448 -                                                    Pain Level  Route
100449 -         ..
100450 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100451 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100452 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100453 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100454 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100455 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100456 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100457 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100458 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100459 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100460 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100461 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100462 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100464 -  ..
100465 - Peripheral neuropathy right foot began recurring week ago on 180708,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100466 - per above, ref SDS 0 YPTV, and citing prior severe episodes after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100467 - increasing Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100468 - 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100470 -  ..
100471 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100472 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100474 -  ..
100475 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100476 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100478 -  ..
100479 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100480 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100481 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100482 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100484 -  ..
100485 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100486 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100487 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100488 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100489 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100490 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100491 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100492 - On 180707 used Egg Ped tool to shave calluses again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100494 -  ..
100495 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100496 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100497 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100498 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100500 -  ..
100501 - Left knee - better today, did not feel pain entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100503 -  ..
100504 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100505 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100506 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100507 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100508 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100510 -  ..
100511 - Half Dome hiked only into Little Yosemite Valley.  Successful test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100512 - indicating should be ready to reach top of Half Dome scheduled on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100513 - 180912, reported in another record today on 180712 0300. ref SDS 98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100514 - 6K7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100516 -  ..
100517 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100518 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100519 - Dinner - pasta hamburger onion celery cheese asparagus, ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100521 -  ..
100522 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100526 -         ..
100527 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100528 -  195.  180713 0630..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100529 -               0635....BP HR with Diff........................................... 127  58  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100530 -               0625....BP HR with Diff........................................... 128  67  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100531 -               0630....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100532 -               0000... 20 15380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100533 -               0000... 80 82940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100534 -               0000....1000  97000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100535 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100536 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100537 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100538 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100539 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100540 -               1810... 40 34520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100541 -               2050............ 10 10430  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100542 -               2050............ 10 10020  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100543 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100544 -               2200... 40 14680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100545 -               2200... 1000  201000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100546 -               2240... 80 83020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100548 -  ..
100549 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100551 -  ..
100552 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100553 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100554 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100555 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100557 -  ..
100558 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100559 - gastrointestinal drugs last night, and after hiking 16 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100560 - yesterday. per above. ref SDS 0 2G3J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100562 -  ..
100563 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100564 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100565 - requesting meeting for further treatment. ref SDS 97 U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100567 -  ..
100568 - Weight - 181 this morning after hiking 16 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100570 -  ..
100571 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100572 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100574 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100575 -                                                    Pain Level  Route
100576 -         ..
100577 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100578 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100579 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100580 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100581 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100582 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100583 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100584 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100585 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100586 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100587 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100588 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100589 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100591 -  ..
100592 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100593 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100594 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100596 -  ..
100597 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100598 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100600 -  ..
100601 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100602 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100604 -  ..
100605 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100606 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100607 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100608 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100610 -  ..
100611 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100612 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100613 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100614 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100615 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100616 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100617 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100618 - On 180707 used Egg Ped tool to shave calluses again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100620 -  ..
100621 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100622 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100623 - lotion applied last on 180628, per above. ref SDS 0 WVWW  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100624 - successful during hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100626 -  ..
100627 - Left knee - better today, did not feel pain entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100629 -  ..
100630 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100631 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100632 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100633 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100634 - 180628, per above. ref SDS 0 WVXR  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100636 -  ..
100637 - Hiking - none - medical procedure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100639 -  ..
100640 - Breakfast - NPO for EGD dilation at VAMC Sacramento                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100641 - Lunch - cherrios half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100642 - Dinner - spaghetti donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100644 -  ..
100645 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100650 -         ..
100651 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100652 -  196.  180714 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100653 -               0705....BP HR with Diff........................................... 132  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100654 -               0710....BP HR with Diff........................................... 126  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100655 -               0715....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100656 -               0715... 20 15400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100657 -               0715... 80 83100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100658 -               0715....1000  98000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100659 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100660 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100661 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100662 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100663 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100664 -          * cr 1040....miles...........  15.0  57.00  250  693 minutes temp  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100665 -               1530....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100666 -               1535....BP HR with Diff........................................... 108  69 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100667 -               1825....BP HR with Diff........................................... 101  69  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100668 -               1710... 40 34520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100669 -             1 0000............ 10 10430  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100670 -             1 0000............ 10 10020  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100671 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100672 -               1950... 40 14720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100673 -               2130... 1000  202000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100674 -               2220... 80 83180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100676 -  ..
100677 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100679 -  ..
100680 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100681 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100682 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100683 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100685 -  ..
100686 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100687 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100688 - per above. ref SDS 0 MW8G  BP and HR okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100690 -  ..
100691 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100692 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100693 - requesting meeting for further treatment. ref SDS 97 U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100695 -  ..
100696 - Weight - 186 this morning after hiking 0 miles yesterday; and 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100697 - after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100699 -  ..
100700 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100701 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100703 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100704 -                                                    Pain Level  Route
100705 -         ..
100706 -        Tailor's Bunion left foot....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100707 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100708 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100709 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100710 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100711 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100712 -        Blister below big toe right foot.............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100713 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100714 -        Left knee....................................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100715 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100716 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100717 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100718 -        Peripheral neruopathy right foot.............   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100720 -  ..
100721 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100722 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100723 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100724 - there was mild peripheral neuropathy in right foot going up Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100725 - Ranch Road and again going up Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100727 -  ..
100728 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100729 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100731 -  ..
100732 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100733 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100735 -  ..
100736 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100737 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100738 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100739 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100741 -  ..
100742 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100743 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100744 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100745 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100746 - 1230. ref SDS 91 268M  On 180614, used Egg Ped tool again to shave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100747 - calluses and used emory paper to sand the callus to near normal skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100748 - contour, supplementing first use on 180529 per above. ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100749 - On 180707 used Egg Ped tool to shave calluses again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100751 -  ..
100752 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100753 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100754 - lotion applied last on 180628, per above. ref SDS 0 WVWW  Today, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100755 - level 2 on Oak Grove, but subsided to 0 on Treat to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100757 -  ..
100758 - Left knee - pain level 2 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100759 - Crystal Ranch Road and again on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100761 -  ..
100762 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100763 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100764 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100765 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100766 - 180628, per above. ref SDS 0 WVXR  Pain level 2 along Oak Grove, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100767 - subsided to 0 on Treat to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100769 -  ..
100770 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100771 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100772 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100773 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100774 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100775 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100776 - both feet pain level 0 entire hike, because of maintenance this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100777 - morning, per above. ref SDS 0 XXXX  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100778 - pain level 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100779 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100780 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100781 - flow.  Mild headwind today.  Time mile 4.25 74 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100782 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100783 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100784 - 1 mile uphill.  Seemed like mild peripheral neuropathy in right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100785 - foot - for only .25 miles.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100786 - Going down steep hill toward Rolling Woods Way slower pace to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100787 - knees pain level 0.  Indicates PRP treatments on 170726, 180105, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100788 - most recently on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100789 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100790 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100791 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100792 - steep hill felt strong - increased pace for .3 miles - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100793 - Felt some peripheral neuropathy for only short distance.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100794 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100795 - knee.  Turned corner onto Pine Hollow and maintained slower pace due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100796 - to rising heat at 97.  Hiked 1 mile on flat ground.  Continued to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100797 - of Pine Hollow.  Turned corner onto Ygnacio Valley Road.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100798 - back to Crystal Ranch Road, completing 4-mile loop.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100799 - Ygnacio Valley Road uphill past Cowell to summit.  Then hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100800 - to Oak Grove.  Turned corner and hiked 1 mile to Treat.  Along this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100801 - route felt callus blisters on big toes of both feet.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100802 - and hiked to uphill, was able to increase pace going uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100803 - miraculously blisters on both feet were pain level 0.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100804 - Cuneo, turned corner and hiked home, rather do the last 1 mile loop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100805 - because blister on calluses got worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100807 -  ..
100808 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100809 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100810 - Dinner - pasta avocado onion asparagus, few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100812 -  ..
100813 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100818 -         ..
100819 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100820 -  197.  180715 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100821 -               1010....BP HR with Diff........................................... 138  73  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100822 -               1015....BP HR with Diff........................................... 125  69  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100823 -               1020....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100824 -               1020... 20 15400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100825 -               1020... 80 83100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100826 -               1020....1000  98000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100827 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100828 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100829 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100830 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100831 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100832 -          * cr 1130....miles...........  15.0  72.00  238 1181 minutes temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100833 -               1550....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100834 -               1600....BP HR with Diff...........................................  85  69 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100835 -               1605....BP HR with Diff...........................................  83  68 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100836 -               1710... 40 34520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100837 -             1 0000............ 10 10430  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100838 -             1 0000............ 10 10020  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100839 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100840 -               1950... 40 14720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100841 -               2130... 1000  202000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100842 -               2220... 80 83180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100844 -  ..
100845 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100847 -  ..
100848 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100849 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100850 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100851 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100853 -  ..
100854 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100855 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100856 - yesterday. per above. ref SDS 0 MW8G  BP and HR okay after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100857 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100859 -  ..
100860 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100861 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100862 - requesting meeting for further treatment. ref SDS 97 U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100864 -  ..
100865 - Weight - 181 this morning after hiking 15 miles yesterday; and 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100866 - after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100868 -  ..
100869 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100870 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100872 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100873 -                                                    Pain Level  Route
100874 -         ..
100875 -        Tailor's Bunion left foot....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100876 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100877 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100878 -        Metatarsalgia right foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100879 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100880 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100881 -        Blister below big toe right foot.............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100882 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100883 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100884 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100885 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100886 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100887 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100889 -  ..
100890 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100891 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100892 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100893 - there was no evident peripheral neuropathy in right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100895 -  ..
100896 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100897 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100899 -  ..
100900 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100901 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100903 -  ..
100904 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100905 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100906 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100907 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100909 -  ..
100910 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100911 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100912 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100913 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100914 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100916 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100917 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100918 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100919 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100920 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100921 -        again today.................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100923 -  ..
100924 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100925 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100926 - lotion applied last on 180628, per above. ref SDS 0 WVWW  Today, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100927 - level 2 on Oak Grove, but subsided to 0 on Treat to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100929 -  ..
100930 - Left knee - pain level 2 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100931 - Crystal Ranch Road and again on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100933 -  ..
100934 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100935 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100936 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100937 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100938 - 180628, per above. ref SDS 0 WVXR  Pain level 1 along Oak Grove, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100939 - subsided to 0 on Treat to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100941 -  ..
100942 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100943 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100944 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100945 - entire hike.  Time to 1.25 miles 19 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100946 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100947 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100948 - both feet pain level 0 entire hike, because of maintenance this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100949 - morning, per above. ref SDS 0 XXXX  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100950 - pain level 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100951 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100952 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100953 - flow.  Mild headwind today.  Time mile 4.25 74 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100954 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100955 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100956 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100957 - down steep hill toward Rolling Woods Way slower pace to protect knees                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100958 - pain level 0.  Indicates PRP treatments on 170726, 180105, and most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100959 - recently on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100960 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100961 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100962 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100963 - steep hill felt strong - increased pace for .3 miles - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100964 - Going downhill slowed pace.  Pain level 0 left knee and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100965 - right knee.  Turned corner onto Pine Hollow and maintained slower pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100966 - due to rising heat at 97.  Hiked 1 mile on flat ground.  Continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100967 - end of Pine Hollow.  Turned corner onto Ygnacio Valley Road.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100968 - mile back to Crystal Ranch Road, completing 4-mile loop.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100969 - Ygnacio Valley Road uphill past Cowell to summit.  Then hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100970 - to Oak Grove.  Feeling fatigue from heat.  Turned corner and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100971 - mile to Treat.  Along this route felt callus blisters on big toes of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100972 - both feet.  Turned corner and hiked to uphill; slowed pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100973 - uphill, and blisters on both feet were pain level 0.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100974 - Cuneo, turned corner and hiked home, rather do the last 1 mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100976 -  ..
100977 - Breakfast - cherrios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100978 - Lunch - ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100979 - Dinner - pasta hamburger hot dog celery onion, donut milk, chips beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100981 -  ..
100982 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100986 -         ..
100987 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100988 -  198.  180716 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100989 -               0845....BP HR with Diff........................................... 140  76  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100990 -               0850....BP HR with Diff........................................... 122  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100991 -               0855....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100992 -               0855... 20 15420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100993 -               0855... 80 83260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100994 -               0855....1000  99000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100995 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100996 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100997 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100998 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100999 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101000 -               1700... 40 34520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101001 -               1930............ 10 10440  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101002 -               1930............ 10 10030  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101003 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101004 -               2110... 40 14760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101005 -               2130... 1000  203000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101006 -               2240... 80 83340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101008 -  ..
101009 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101011 -  ..
101012 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101013 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101014 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101015 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101017 -  ..
101018 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101019 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101020 - yesterday. per above. ref SDS 0 MW8G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101022 -  ..
101023 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101024 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101025 - requesting meeting for further treatment. ref SDS 97 U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101027 -  ..
101028 - Weight - 181 this morning after hiking 15 miles yesterday; and 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101029 - after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101031 -  ..
101032 - Hiking - none, coordinating house repairs tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101034 -  ..
101035 - Breakfast - cherrios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101036 - Lunch - sandwich balogny onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101037 - Dinner - pasta hamburger hot dog celery onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101039 -  ..
101040 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101044 -         ..
101045 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101046 -  199.  180717 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101047 -               0745....BP HR with Diff........................................... 139  75  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101048 -               0750....BP HR with Diff........................................... 126  70  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101049 -               0755....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101050 -               0755... 20 15420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101051 -               0755... 80 83260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101052 -               0755....1000  99000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101053 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101054 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101055 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101056 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101057 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101058 -               1720... 40 34520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101059 -               1930............ 10 10440  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101060 -               1930............ 10 10030  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101061 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101062 -               2110... 40 14760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101063 -               2130... 1000  203000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101064 -               2240... 80 83340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101066 -  ..
101067 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101069 -  ..
101070 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101071 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101072 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101073 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101075 -  ..
101076 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101077 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101078 - per above. ref SDS 0 VL4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101080 -  ..
101081 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101082 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101083 - requesting meeting for further treatment. ref SDS 97 U13F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101085 -  ..
101086 - Weight - 184 this morning after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101088 -  ..
101089 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101091 -  ..
101092 - Breakfast - cherrios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101093 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101094 - Dinner - grilled cheese sandwich hot dogs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101096 -  ..
101097 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101101 -         ..
101102 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101103 -  200.  180718 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101104 -               0855....BP HR with Diff........................................... 123  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101105 -               0900....BP HR with Diff........................................... 120  70  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101106 -               0905....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101107 -               0910... 20 15420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101108 -               0910... 80 83260 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101109 -               0910....1000  99000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101110 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101111 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101112 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101113 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101114 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101115 -          * cr 1035....miles...........  11.0  11.00  178  178 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101116 -               1405....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101117 -               1410....BP HR with Diff...........................................  93  70 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101118 -               1415....BP HR with Diff........................................... 100  66 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101119 -               1700... 40 34520 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101120 -             1 0000............ 10 10440  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101121 -             1 0000............ 10 10030  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101122 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101123 -               2110... 40 14760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101124 -               2130... 1000  203000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101125 -               2240... 80 83340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101127 -  ..
101128 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101130 -  ..
101131 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101132 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101133 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101134 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101136 -  ..
101137 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101138 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101139 - per above. ref SDS 0 VL4K  BP and HR okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101141 -  ..
101142 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101143 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101144 - requesting meeting for further treatment. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101145 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101146 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101148 -  ..
101149 - Weight - 183 this morning after hiking 0 miles yesterday; and 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101150 - after hiking 15 miles today.  Lost 6 pounds hiking 11 miles in high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101151 - temeprature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101153 -  ..
101154 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101155 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101157 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101158 -                                                    Pain Level  Route
101159 -         ..
101160 -        Tailor's Bunion left foot....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101161 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101162 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101163 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101164 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101165 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101166 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101167 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101168 -        Left knee....................................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101169 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101170 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101171 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101172 -        Peripheral neruopathy right foot.............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101174 -  ..
101175 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101176 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101177 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101178 - there was evident peripheral neuropathy in right foot about mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101179 - on Clayton for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101181 -  ..
101182 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101183 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101185 -  ..
101186 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101187 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101189 -  ..
101190 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101191 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101192 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101193 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101195 -  ..
101196 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101197 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101198 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101199 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101200 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101202 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101203 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101204 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101205 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101206 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101207 -        again today.................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101209 -  ..
101210 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101211 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101212 - lotion applied last on 180628, per above. ref SDS 0 WVWW  Today, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101213 - level 2 on Oak Grove, but subsided to 0 on Treat to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101215 -  ..
101216 - Left knee - pain level 2 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101217 - Crystal Ranch Road and again on Rolling Woods Way.  After hike felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101218 - left knee pain level 2 going up stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101220 -  ..
101221 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101222 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101223 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101224 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101225 - 180628, per above. ref SDS 0 WVXR  Pain level 1 going uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101226 - Crystal Ranch Road for short distance, then subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101228 -  ..
101229 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101230 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101231 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101232 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101233 - Clayton hiking concrete sidewalk.  About mile 1.5 slight peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101234 - neuropathy occurred for about 300 yards, then subsided with continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101235 - hiking.  Metatarsalgia pain level 0 entire hike.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101236 - right foot entire hike.  Calluses big toes both feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101237 - entire hike, because of maintenance on 180715, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101238 - XXXX  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101239 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101240 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101241 - South Side to hike against Eastbound traffic flow.  Mild headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101242 - today.  Time mile 4.25 74 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101243 - 1 mile.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101244 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101245 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101246 - Rolling Woods Way slower pace to protect knees.  Left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101247 - 2 for short distance.  Right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101248 - treatments on 170726, 180105, and most recently on 180620, 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101249 - ref SDS 94 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101250 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101251 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101252 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101253 - increased pace for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101254 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101255 - corner onto Pine Hollow and maintained slower pace due to rising heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101256 - at 97.  Hiked 1 mile on flat ground.  Continued to end of Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101257 - Turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101258 - Ranch Road, completing 4-mile loop.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101259 - uphill.  Feeling fatigue from rising temperature so turned on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101260 - and hiked 1 mile to Treat, then home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101262 -  ..
101263 - Breakfast - cherrios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101264 - Lunch - ensure milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101265 - Dinner - eggs bacon brocolli cheese, half sandwich margerine peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101266 - butter jam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101268 -  ..
101269 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101273 -         ..
101274 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101275 -  201.  180719 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101276 -               0855....BP HR with Diff........................................... 129  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101277 -               0900....BP HR with Diff........................................... 122  72  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101278 -               0905....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101279 -               0910... 20 15440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101280 -               0910... 80 83420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101281 -               0910....1000 100000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101282 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101283 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101284 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101285 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101286 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101287 -               1700... 40 34560 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101288 -               1940............ 10 10450  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101289 -               1940............ 10 10040  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101290 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101291 -               2045... 40 14760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101292 -               2120... 1000  204000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101293 -               2220... 80 83520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101295 -  ..
101296 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101298 -  ..
101299 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101300 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101301 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101302 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101304 -  ..
101305 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101306 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101307 - per above. ref SDS 0 VL4K  BP and HR okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101309 -  ..
101310 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101311 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101312 - requesting meeting for further treatment. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101313 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101314 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101316 -  ..
101317 - Weight - 183 this morning after hiking 0 miles yesterday; and 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101318 - after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101320 -  ..
101321 - Hiking, none - working with plumber to complete home repairs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101324 -  ..
101325 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101326 - Lunch - hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101327 - Dinner - pasta asparagus hot dog celery onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101329 -  ..
101330 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101335 -         ..
101336 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101337 -  202.  180720 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101338 -               0920....BP HR with Diff........................................... 125  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101339 -               0925....BP HR with Diff........................................... 118  69  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101340 -               0930....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101341 -               0930... 20 15440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101342 -               0930... 80 83420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101343 -               0930....1000 100000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101344 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101345 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101346 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101347 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101348 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101349 -          * cr 1035....miles...........  11.0  22.00  180  358 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101350 -               1425....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101351 -               1430....BP HR with Diff...........................................  99  72 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101352 -               1415....BP HR with Diff...........................................  99  68  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101353 -               1700... 40 34560 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101354 -             1 0000............ 10 10450  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101355 -             1 0000............ 10 10040  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101356 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101357 -               2015... 40 14760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101358 -               2040... 1000  204000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101359 -               2210... 80 83520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101361 -  ..
101362 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101364 -  ..
101365 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101366 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101367 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101368 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101370 -  ..
101371 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101372 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101373 - per above. ref SDS 0 ZZ3I  BP and HR okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101375 -  ..
101376 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101377 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101378 - requesting meeting for further treatment. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101379 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101380 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101382 -  ..
101383 - Weight - 184 this morning after hiking 0 miles yesterday; and 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101384 - after hiking 15 miles today.  Lost 6 pounds hiking 11 miles in high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101385 - temeprature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101387 -  ..
101388 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101389 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101391 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101392 -                                                    Pain Level  Route
101393 -         ..
101394 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101395 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101396 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101397 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101398 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101399 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101400 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101401 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101402 -        Left knee....................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101403 -        Right knee...................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101404 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101405 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101406 -        Peripheral neruopathy right foot.............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101408 -  ..
101409 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101410 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101411 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101412 - there was evident peripheral neuropathy in right foot about mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101413 - on Clayton for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101415 -  ..
101416 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101417 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101419 -  ..
101420 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101421 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101423 -  ..
101424 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101425 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101426 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101427 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101429 -  ..
101430 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101431 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101432 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101433 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101434 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101436 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101437 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101438 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101439 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101440 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101441 -        again today.................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101443 -  ..
101444 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101445 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101446 - lotion applied last on 180628, per above. ref SDS 0 WVWW  Today, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101447 - level 2 on Oak Grove, but subsided to 0 on Treat to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101449 -  ..
101450 - Left knee - pain level 2 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101451 - Crystal Ranch Road and again on Rolling Woods Way.  After hike felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101452 - left knee pain level 2 going up stairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101454 -  ..
101455 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101456 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101457 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101458 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101459 - 180628, per above. ref SDS 0 WVXR  Pain level 1 going uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101460 - Crystal Ranch Road for short distance, then subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101462 -  ..
101463 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101464 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101465 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101466 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101467 - Clayton hiking concrete sidewalk.  About mile 1.5 slight peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101468 - neuropathy occurred for about 300 yards, then subsided with continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101469 - hiking.  Metatarsalgia pain level 0 entire hike.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101470 - right foot entire hike.  Calluses big toes both feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101471 - entire hike, because of maintenance on 180715, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101472 - XXXX  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101473 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101474 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101475 - South Side to hike against Eastbound traffic flow.  Mild headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101476 - today.  Time mile 4.25 74 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101477 - 1 mile.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101478 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101479 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101480 - Rolling Woods Way slower pace to protect knees.  Left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101481 - 2 for short distance.  Right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101482 - treatments on 170726, 180105, and most recently on 180620, 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101483 - ref SDS 94 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101484 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101485 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101486 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101487 - increased pace for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101488 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101489 - corner onto Pine Hollow and maintained slower pace due to rising heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101490 - at 97.  Hiked 1 mile on flat ground.  Continued to end of Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101491 - Turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101492 - Ranch Road, completing 4-mile loop.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101493 - uphill.  Feeling fatigue from rising temperature so turned on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101494 - and hiked 1 mile to Treat, then home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101496 -  ..
101497 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101498 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101499 - Dinner - sandwich tuna onion, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101501 -  ..
101502 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101506 -         ..
101507 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101508 -  203.  180721 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101509 -               0950....BP HR with Diff........................................... 103  63  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101510 -               0955....BP HR with Diff........................................... 110  65  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101511 -               1000....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101512 -               1000... 20 15460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101513 -               1000... 80 83580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101514 -               1000....1000 101000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101515 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101516 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101517 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101518 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101519 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101520 -          * cr 1100....miles...........  11.0  32.00  173  541 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101521 -               1330....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101522 -               1430....BP HR with Diff........................................... 106  76  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101523 -               1415....BP HR with Diff........................................... 104  81  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101524 -               1630... 40 34560 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101525 -               1920............ 10 10460  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101526 -               1920............ 10 10050  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101527 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101528 -               2045... 40 14800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101529 -               2120... 1000  205000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101530 -               2150... 80 83640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101532 -  ..
101533 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101535 -  ..
101536 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101537 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101538 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101539 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101541 -  ..
101542 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101543 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101544 - per above. ref SDS 0 ZZ3I  BP and HR okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101546 -  ..
101547 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101548 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101549 - requesting meeting for further treatment. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101550 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101551 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101553 -  ..
101554 - Weight - 184 this morning after hiking 0 miles yesterday; and 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101555 - after hiking 15 miles today.  Lost 6 pounds hiking 11 miles in high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101556 - temeprature today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101558 -  ..
101559 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101560 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101562 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101563 -                                                    Pain Level  Route
101564 -         ..
101565 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101566 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101567 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101568 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101569 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101570 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101571 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101572 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101573 -        Left knee....................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101574 -        Right knee...................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101575 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101576 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101577 -        Peripheral neruopathy right foot.............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101579 -  ..
101580 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101581 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101582 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101583 - there was evident peripheral neuropathy in right foot about mile 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101584 - on Clayton for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101586 -  ..
101587 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101588 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101590 -  ..
101591 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101592 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101594 -  ..
101595 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101596 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101597 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101598 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101600 -  ..
101601 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101602 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101603 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101604 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101605 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101607 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101608 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101609 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101610 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101611 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101612 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101613 -        again today.................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101615 -  ..
101616 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101617 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101618 - lotion applied last on 180628, per above. ref SDS 0 WVWW  Today, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101619 - level 2 on Oak Grove, but subsided to 0 on Treat to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101621 -  ..
101622 - Left knee - pain level 2 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101623 - Crystal Ranch Road and again on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101625 -  ..
101626 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101627 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101628 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101629 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101630 - 180628, per above. ref SDS 0 WVXR  Pain level 1 going uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101631 - Crystal Ranch Road for short distance, then subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101633 -  ..
101634 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101635 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101636 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101637 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101638 - Clayton hiking concrete sidewalk.  About mile 1.5 slight peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101639 - neuropathy occurred for about 300 yards, then subsided with continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101640 - hiking.  Metatarsalgia pain level 0 entire hike.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101641 - right foot entire hike.  Calluses big toes both feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101642 - entire hike, because of maintenance on 180715, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101643 - XXXX  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101644 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101645 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101646 - South Side to hike against Eastbound traffic flow.  Mild headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101647 - today.  Time mile 4.25 74 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101648 - 1 mile.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101649 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101650 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101651 - Rolling Woods Way slower pace to protect knees.  Left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101652 - 2 for short distance.  Right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101653 - treatments on 170726, 180105, and most recently on 180620, 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101654 - ref SDS 94 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101655 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101656 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101657 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101658 - increased pace for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101659 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101660 - corner onto Pine Hollow and maintained slower pace due to rising heat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101661 - at 97.  Hiked 1 mile on flat ground.  Continued to end of Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101662 - Turned corner onto Ygnacio Valley Road.  Hiked 1 mile back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101663 - Ranch Road, completing 4-mile loop.  Continued on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101664 - uphill.  Feeling fatigue from rising temperature so turned on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101665 - and hiked 1 mile to Treat, then home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101667 -  ..
101668 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101669 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101670 - Dinner - rice onion celery squash avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101672 -  ..
101673 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101677 -         ..
101678 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101679 -  204.  180722 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101680 -               0825....BP HR with Diff........................................... 134  77  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101681 -               0830....BP HR with Diff........................................... 126  70  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101682 -               0840....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101683 -               0840... 20 15480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101684 -               0840... 80 83740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101685 -               0840....1000 102000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101686 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101687 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101688 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101689 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101690 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101691 -          * cr 1100....miles...........  15.0  47.00  238  541 minutes temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101692 -               1520....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101693 -               1530....BP HR with Diff........................................... 103  74 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101694 -               1535....BP HR with Diff........................................... 103  74 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101695 -               1830... 40 34600 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101696 -             1 0000............ 10 10460  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101697 -             1 0000............ 10 10050  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101698 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101699 -               2020... 40 14840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101700 -               2030... 1000  206000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101701 -               2220... 80 83820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101703 -  ..
101704 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101706 -  ..
101707 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101708 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101709 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101710 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101712 -  ..
101713 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101714 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101715 - per above. ref SDS 0 ZZ3I  BP and HR okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101717 -  ..
101718 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101719 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101720 - requesting meeting for further treatment. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101721 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101722 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101724 -  ..
101725 - Weight - 184 this morning after hiking 11 miles yesterday; and 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101726 - after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101728 -  ..
101729 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101730 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101732 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101733 -                                                    Pain Level  Route
101734 -         ..
101735 -        Tailor's Bunion left foot....................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101736 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101737 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101738 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101739 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101740 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101741 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101742 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101743 -        Left knee....................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101744 -        Right knee...................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101745 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101746 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101747 -        Peripheral neruopathy right foot.............   1         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101749 -  ..
101750 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101751 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101752 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101753 - went first to Lafayette Reservoir and did 1.5 laps.  Peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101754 - neuropathy in right foot about mile .25 after walking to end of dam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101755 - and taking curve around end of reservoir.  Ended when I went into the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101756 - Ranger Station to pay for another year using the facility.  Recurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101757 - after resuming hike about another .25 miles, and ended after mile 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101758 - Hiked again at home on regular route after 1.5 miles on Clayton for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101759 - about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101761 -  ..
101762 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101763 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101765 -  ..
101766 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101767 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101769 -  ..
101770 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101771 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101772 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101773 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101775 -  ..
101776 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101777 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101778 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101779 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101780 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101782 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101783 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101784 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101785 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101786 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101787 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101788 -        again today.................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101790 -  ..
101791 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101792 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101793 - lotion applied last on 180628, per above. ref SDS 0 WVWW  Today, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101794 - level 2 on Oak Grove, but subsided to 0 on Treat to end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101796 -  ..
101797 - Left knee - pain level 2 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101798 - Crystal Ranch Road and again on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101800 -  ..
101801 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101802 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101803 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101804 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101805 - 180628, per above. ref SDS 0 WVXR  Pain level 1 going uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101806 - Crystal Ranch Road for short distance, then subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101808 -  ..
101809 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101810 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101811 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101812 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101813 - Clayton hiking concrete sidewalk.  About mile 1.5 slight peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101814 - neuropathy occurred for about 300 yards, then subsided with continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101815 - hiking.  Metatarsalgia pain level 0 entire hike.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101816 - right foot entire hike.  Calluses big toes both feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101817 - entire hike, because of maintenance on 180715, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101818 - XXXX  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101819 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101820 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101821 - South Side to hike against Eastbound traffic flow.  Mild headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101822 - today.  Time mile 4.25 74 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101823 - 1 mile.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101824 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101825 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101826 - Rolling Woods Way slower pace to protect knees.  Left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101827 - 2 for short distance.  Right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101828 - treatments on 170726, 180105, and most recently on 180620, 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101829 - ref SDS 94 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101830 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101831 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101832 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101833 - increased pace for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101834 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101835 - corner onto Pine Hollow and called Kathy.  Agreed to meet at Mudville                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101836 - Grill in Clayton for lunch.  Hiked 2 miles to Mitchell Canyon Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101837 - Turned left and hiked .5 miles to Clayton.  Turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101838 - .5 miles to Marsh Creek Road.  Turned corner and hiked .5 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101839 - Mudville Grill.  Walked over to grocery store .25 miles and bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101840 - coke and lime juice.  Walked back to Mudville Grill, ending hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101842 -  ..
101843 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101844 - Lunch - half hamburger fires                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101845 - Dinner - hot dog cottage cheese avocado tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101847 -  ..
101848 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101852 -         ..
101853 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101854 -  205.  180723 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101855 -               0825....BP HR with Diff........................................... 127  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101856 -               0830....BP HR with Diff........................................... 121  74  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101857 -               0840....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101858 -               0840... 20 15500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101859 -               0840... 80 83900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101860 -               0840....1000 103000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101861 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101862 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101863 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101864 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101865 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101866 -          * cr 0950....miles...........  13.0  13.00  197  197 minutes temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101867 -               1330....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101868 -               1335....BP HR with Diff........................................... 115  80 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101869 -               1340....BP HR with Diff........................................... 114  79 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101870 -               1700... 40 34640 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101871 -               2110............ 10 10470  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101872 -               2110............ 10 10060  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101873 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101874 -               2220... 40 14880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101875 -               2250... 1000  207000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101876 -               2340... 80 83980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101878 -  ..
101879 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101881 -  ..
101882 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101883 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101884 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101885 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101887 -  ..
101888 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101889 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101890 - yesterday. per above. ref SDS 0 4L3M  BP and HR okay after hiking 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101891 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101893 -  ..
101894 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101895 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101896 - requesting meeting for further treatment. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101897 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101898 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101900 -  ..
101901 - Weight - 184 this morning after hiking 11 miles yesterday; and 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101902 - after hiking 13 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101904 -  ..
101905 - Pain medication - acetaminophen today, with no NSAID (ibuprofen) after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101906 - PRP injection treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101908 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101909 -                                                    Pain Level  Route
101910 -         ..
101911 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101912 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101913 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101914 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101915 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101916 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101917 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101918 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101919 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101920 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101921 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101922 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101923 -        Peripheral neruopathy right foot.............   1         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101925 -  ..
101926 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101927 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101928 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101929 - peripheral neuropathy after .25 miles and lasted about 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101931 -  ..
101932 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101933 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101935 -  ..
101936 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101937 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101939 -  ..
101940 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101941 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101942 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101943 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101945 -  ..
101946 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101947 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101948 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101949 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101950 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101952 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101953 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101954 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101955 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101956 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101957 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101958 -        again today.................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101960 -  ..
101961 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101962 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101963 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101965 -  ..
101966 - Left knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101967 - Crystal Ranch Road and again on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101969 -  ..
101970 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101971 - Crystal Ranch Road and again on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101973 -  ..
101974 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101975 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101976 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101977 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101978 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101980 -  ..
101981 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101982 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101983 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101984 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101985 - Clayton hiking concrete sidewalk.  About mile 1.5 slight peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101986 - neuropathy occurred for about 300 yards, then subsided with continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101987 - hiking.  Metatarsalgia pain level 0 entire hike.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101988 - right foot entire hike.  Calluses big toes both feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101989 - entire hike, because of maintenance on 180715, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101990 - XXXX  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101991 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101992 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101993 - South Side to hike against Eastbound traffic flow.  Mild headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101994 - today.  Time mile 4.25 74 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101995 - 1 mile.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101996 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101997 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101998 - Rolling Woods Way slower pace to protect knees.  Left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101999 - 2 for short distance.  Right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102000 - treatments on 170726, 180105, and most recently on 180620, 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102001 - ref SDS 94 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102002 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102003 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102004 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102005 - increased pace for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102006 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102007 - corner onto Pine Hollow.  Hiked 1 mile to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102008 - onto Ygnacio Valley Road and increased pace hiking 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102009 - Crystal Ranch Road.  Continued uphill to Cowell.  Felt okay, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102010 - increased pace hiking uphill to summit.  Slowed pace going downhill 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102011 - miles to Oak Grove.  Turned corner and called Kathy to meet at corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102012 - of Treat and Oak Grove.  Increased pace hiking 1 mile to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102013 - Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102015 -  ..
102016 - Breakfast - cheerios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102017 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102018 - Dinner - .25 hamburger from yesterday, potato salad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102020 -  ..
102021 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102025 -         ..
102026 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102027 -  206.  180724 0630..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102028 -               0705....BP HR with Diff........................................... 132  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102029 -               0710....BP HR with Diff........................................... 120  69  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102030 -               0720....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102031 -               0720... 20 15520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102032 -               0720... 80 84060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102033 -               0900....1000 104000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102034 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102035 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102036 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102037 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102038 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102039 -          * cr 1005....miles...........  11.0  24.00  173  370 minutes temp  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102040 -               1315....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102041 -               1330....BP HR with Diff........................................... 100  70 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102042 -               1335....BP HR with Diff........................................... 102  70 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102043 -               1700... 40 34680 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102044 -             1 0000............ 10 10470  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102045 -             1 0000............ 10 10060  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102046 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102047 -               2220... 40 14920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102048 -               2250... 1000  208000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102049 -               2340... 80 84140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102051 -  ..
102052 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102054 -  ..
102055 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102056 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102057 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102058 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102060 -  ..
102061 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102062 - gastrointestinal drugs last night, and after hiking 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102063 - yesterday. per above. ref SDS 0 EC5H  BP and HR good after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102064 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102066 -  ..
102067 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102068 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102069 - requesting meeting for further treatment. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102070 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102071 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102073 -  ..
102074 - Weight - 183 this morning after hiking 13 miles yesterday; and 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102075 - after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102077 -  ..
102078 - Pain medication - experiment omit acetaminophen began on 170825, shown                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102079 - in case study on 160101 0700. ref SDS 37 7F6O experiment - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102080 - acetaminophen today, with no NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102081 - treatment on 180620 1530. ref SDS 94 HP5O  Good results, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102082 - after hike...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102084 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102085 -                                                    Pain Level  Route
102086 -         ..
102087 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102088 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102089 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102090 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102091 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102092 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102093 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102094 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102095 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102096 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102097 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102098 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102099 -        Peripheral neruopathy right foot.............   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102101 -  ..
102102 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102103 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102104 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102105 - peripheral neuropathy after .25 miles and lasted about 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102107 -  ..
102108 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102109 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102111 -  ..
102112 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102113 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102115 -  ..
102116 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102117 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102118 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102119 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102121 -  ..
102122 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102123 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102124 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102125 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102126 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102128 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102129 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102130 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102131 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102132 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102133 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102134 -        again today.................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102136 -  ..
102137 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102138 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102139 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102141 -  ..
102142 - Left knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102143 - Crystal Ranch Road and again on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102145 -  ..
102146 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102147 - Crystal Ranch Road and again on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102149 -  ..
102150 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102151 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102152 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102153 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102154 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102156 -  ..
102157 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102158 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102159 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102160 - entire hike.  Time to 1.25 miles 18 minutes.  Increased pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102161 - Clayton hiking concrete sidewalk.  About mile 1.5 slight peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102162 - neuropathy occurred for about 300 yards, then subsided with continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102163 - hiking.  Metatarsalgia pain level 0 entire hike.  No burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102164 - right foot entire hike.  Calluses big toes both feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102165 - entire hike, because of maintenance on 180715, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102166 - XXXX  Right foot plantar plate injury pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102167 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102168 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102169 - South Side to hike against Eastbound traffic flow.  Mild headwind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102170 - today.  Time mile 4.25 64 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102171 - 1 mile.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102172 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102173 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102174 - Rolling Woods Way slower pace to protect knees.  Left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102175 - 2 for short distance.  Right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102176 - treatments on 170726, 180105, and most recently on 180620, 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102177 - ref SDS 94 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102178 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102179 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102180 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102181 - increased pace for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102182 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102183 - corner onto Pine Hollow.  Increased pace hiking 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102184 - Valley Road.  Turned onto Ygnacio Valley Road and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102185 - hiking 1 mile back to Crystal Ranch Road.  Continued uphill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102186 - Felt fatigued, so turned corner.  Hiked 1 mile on Cowell to Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102187 - then home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102189 -  ..
102190 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102191 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102192 - Dinner - rice onion celery squash avocado, bread margerine tuna,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102193 - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102195 -  ..
102196 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102200 -         ..
102201 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102202 -  207.  180725 0200..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102203 -               0240....BP HR with Diff........................................... 127  74  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102204 -               0245....BP HR with Diff........................................... 130  73  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102205 -               0250....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102206 -               0250....1000 105000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102207 -               0000... 20 15520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102208 -               0730... 80 84220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102209 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102210 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102211 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102212 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102213 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102214 -               0420....miles...........  12.0  36.00  183  553 minutes temp  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102215 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102216 -               0725....BP HR with Diff........................................... 100  70 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102217 -               0725....BP HR with Diff........................................... 102  70 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102218 -               1700... 40 34720 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102219 -               2100............ 10 10480  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102220 -               2100............ 10 10070  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102221 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102222 -               2220... 40 14960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102223 -               2250... 1000  209000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102224 -               2340... 80 84300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102226 -  ..
102227 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102229 -  ..
102230 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102231 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102232 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102233 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102235 -  ..
102236 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102237 - gastrointestinal drugs last night, and after hiking 13 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102238 - yesterday. per above. ref SDS 0 EC5H  BP and HR okay after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102239 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102241 -  ..
102242 - BPPV - dizziness - seem better this morning - not noticably wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102243 - after getting up from bed.  On 180707, sent letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102244 - requesting meeting for further treatment. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102245 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102246 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102248 -  ..
102249 - Weight - 185 this morning after hiking 11 miles yesterday; and 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102250 - after hiking 12 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102252 -  ..
102253 - Pain medication - acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102254 - on 160101 0700. ref SDS 37 7F6O experiment - no acetaminophen today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102255 - with no NSAID (ibuprofen) after PRP injection treatment on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102256 - 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102258 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102259 -                                                    Pain Level  Route
102260 -         ..
102261 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102262 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102263 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102264 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102265 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102266 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102267 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102268 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102269 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102270 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102271 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102272 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102273 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102275 -  ..
102276 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102277 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102278 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  It did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102279 - not seem to occur on the hike this morning from the VA through Golden                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102280 - Gate Park and back to the VA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102282 -  ..
102283 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102284 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102286 -  ..
102287 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102288 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102290 -  ..
102291 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102292 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102293 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102294 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102296 -  ..
102297 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102298 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102299 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102300 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102301 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102303 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102304 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102305 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102306 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102307 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102308 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102309 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102311 -  ..
102312 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102313 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102314 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102316 -  ..
102317 - Left knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102318 - Point Lobo to Great Highway, and on Stanyon.  After hike, felt some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102319 - swelling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102321 -  ..
102322 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102323 - Point Lobo to Great Highway, and on Stanyon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102325 -  ..
102326 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102327 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102328 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102329 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102330 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102332 -  ..
102333 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102334 - Weather was fog, wind, cold.  No traffic at 0430, so could hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102335 - asphault paved street, rather than hard concrete sidewalk.  Still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102336 - dark, so could not see the ocean.  Walking downhill from the VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102337 - 42nd street, to Point Lobos both knees pain level 0.  Had to sidestep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102338 - a racoon, as previously on 180709, per above. ref SDS 0 YRUS  It moved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102339 - about 10' away, so just walked by.  Turned corner onto Point Lobos was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102340 - able to go faster downhill to Cliff House, than on prior hikes because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102341 - knees and feet responding well to PRP injection treatment on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102342 - 1530. ref SDS 94 0001  Continued downhill to The Great Highway along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102343 - Ocean Beach.  Called and woke Kathy so she could hear the sound of big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102344 - waves crashing against cliffs.  Hiked on flat ground along Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102345 - Highway to JFK drive.  Turned corner onto JFK and maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102346 - going slightly uphill into the park.  At this hour 0440, still totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102347 - dark.  Could not see the road, trees, etc.  Hiked past Buffalo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102348 - compound.  About mile 4 nearng Hellman Hollow saw the early morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102349 - hiker going West toward the ocean.  Said hellow, and he remembered me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102350 - with a comment.  Previously on 180425, he had come up behind me and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102351 - said something to ally concerns. ref SDS 0 SE4I  Hiking past De Yound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102352 - Museum beginning to encounter few bikers and runners, going the other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102353 - way (West) out toward the ocean.  Most are on the other side of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102354 - street.  Still pain level 0 all issues.  Nearing the end of JFK Drive,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102355 - crossed the street to make left turn onto Stanyon.  Hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102356 - Stanyon several blocks to Fulton; crossed over and hiked few more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102357 - blocks downhill to Paramont street across from Koret Health and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102358 - Recreation Center, part of USF.  Touched the wall at Ann's house -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102359 - time 0552.  Turned and started back - still pain level 0.  Morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102360 - commute traffic is increased through park on JFK.  Hiked on South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102361 - against traffic going West.  Passing De Young Museum increased pace -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102362 - feeling very good.  Nearing the overhead bridge heard the waterfall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102363 - start to flow at 0625.  Called Kathy again so she could hear the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102364 - waterfall.  Hiked under the bridge at 19th Avenue, and past Helman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102365 - Hollow.  Continuing past the Buffalow Compound crossed over to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102366 - side of JFK going with traffic.  The ocean was a beautiful sight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102367 - Hiked North toward the Cliff House and the hospital.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102368 - hiking up the steep hill.  At the Cliff House turned onto Point Lobo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102369 - going East.  Maintained pace hiking up this steep part of the route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102370 - well.  Felt strong continuning uphill to 42nd street - never broke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102371 - stride.  Turned onto 42nd street and maintained pace going up final                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102372 - steep hill to the VA hospital campus.  Good hike with good pace all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102373 - the way.  This seemed like one of fastest hikes uphill from the ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102374 - to the hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102376 -  ..
102377 - Breakfast - ensure with acetaminophen, after hike eggs cheese, sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102378 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102379 - Dinner - potato salad tomato hot dog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102381 -  ..
102382 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102386 -         ..
102387 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102388 -  208.  180726 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102389 -               0850....BP HR with Diff........................................... 127  68  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102390 -               0855....BP HR with Diff........................................... 121  67  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102391 -               0900....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102392 -               0900... 20 15540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102393 -               0900... 80 84380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102394 -               0900....1000 106000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102395 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102396 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102397 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102398 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102399 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102400 -          * cr 1045....miles...........  11.0  48.00  176  729 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102401 -               1400....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102402 -               1410....BP HR with Diff........................................... 103  70 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102403 -               1415....BP HR with Diff........................................... 102  70 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102404 -               1630... 40 34760 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102405 -             1 0000............ 10 10480  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102406 -             1 0000............ 10 10070  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102407 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102408 -               1940... 40 15000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102409 -               2020... 1000  210000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102410 -               2120... 80 84460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102412 -  ..
102413 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102415 -  ..
102416 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102417 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102418 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102419 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102421 -  ..
102422 - Blood pressure good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102423 - gastrointestinal drugs last night, and after hiking 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102424 - yesterday. per above. ref SDS 0 9V5O  BP and HR okay after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102425 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102427 -  ..
102428 - BPPV - dizziness - was noticably wobbly after getting up from bed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102429 - despite treatment by Doctor Wiseman yesterday on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102430 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102431 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102432 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102433 - reported today in another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102435 -  ..
102436 - Weight - 185 this morning after hiking 12 miles yesterday; and 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102437 - after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102439 -  ..
102440 - Pain medication - acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102441 - on 160101 0700. ref SDS 37 7F6O - acetaminophen today, with no NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102442 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102443 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102445 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102446 -                                                    Pain Level  Route
102447 -         ..
102448 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102449 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102450 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102451 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102452 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102453 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102454 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102455 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102456 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102457 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102458 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102459 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102460 -        Peripheral neruopathy right foot.............   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102462 -  ..
102463 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102464 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102465 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102466 - peripheral neuropathy across ball of right foot after 4 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102467 - lasted about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102469 -  ..
102470 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102471 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102473 -  ..
102474 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102475 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102477 -  ..
102478 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102479 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102480 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102481 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102483 -  ..
102484 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102485 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102486 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102487 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102488 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102490 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102491 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102492 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102493 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102494 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102495 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102496 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102498 -  ..
102499 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102500 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102501 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102503 -  ..
102504 - Left knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102505 - Crystal Ranch Road and downhill on Rolling Woods Way.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102506 - felt some swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102508 -  ..
102509 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102510 - Crystal Ranch Road and downhill on Rolling Woods Way.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102511 - felt no swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102513 -  ..
102514 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102515 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102516 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102517 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102518 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102520 -  ..
102521 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102522 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102523 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102524 - entire hike.  Time to 1.25 miles 19 minutes.  Increased pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102525 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102526 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102527 - both feet pain level 0 entire hike, because of maintenance on 180721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102528 - per above. ref SDS 0 PXSP  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102529 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102530 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102531 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102532 - headwind today.  Mild peripheral neuropathy swelling bottom right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102533 - for about 1 mile.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102534 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102535 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102536 - uphill.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102537 - hill toward Rolling Woods Way slower pace to protect knees.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102538 - pain level 0 entire distance.  Right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102539 - treatments on 170726, 180105, and most recently on 180620, 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102540 - ref SDS 94 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102541 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102542 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102543 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102544 - increased pace for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102545 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102546 - corner onto Pine Hollow.  Felt weak for about .5 miles.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102547 - pace hiking 1 mile to Ygnacio Valley Road.  Turned onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102548 - Road and increased pace hiking 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102549 - Continued uphill to Cowell.  Felt fatigued, so turned corner.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102550 - mile on Cowell to Treat and then home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102552 -  ..
102553 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102554 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102555 - Dinner - potato salad avocado, half sandwich margarine peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102557 -  ..
102558 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102562 -         ..
102563 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102564 -  209.  180727 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102565 -               0740....BP HR with Diff........................................... 117  72  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102566 -               0745....BP HR with Diff........................................... 122  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102567 -               0750....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102568 -               0750... 20 15560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102569 -               0750... 80 84540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102570 -               0750....1000 108000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102571 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102572 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102573 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102574 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102575 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102576 -          * cr 0950....miles...........  17.0  64.00  261  990 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102577 -               1500....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102578 -               1510....BP HR with Diff........................................... 105  78 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102579 -               1515....BP HR with Diff...........................................  99  67 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102580 -               1710... 40 34760 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102581 -               1840............ 10 10490  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102582 -               1840............ 10 10080  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102583 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102584 -               1950... 40 15040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102585 -               2020... 1000  211000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102586 -               2130... 80 84620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102588 -  ..
102589 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102591 -  ..
102592 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102593 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102594 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102595 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102597 -  ..
102598 - Blood pressure very good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102599 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102600 - yesterday. per above. ref SDS 0 2V4K  BP and HR okay after hiking 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102601 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102603 -  ..
102604 - BPPV - dizziness - was not noticably wobbly after getting up from bed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102605 - after treatment by Doctor Wiseman on 180725 0800. ref SDS A2 VL73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102606 - This followed letter to Doctor Wiseman requesting meeting for further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102607 - treatment, sent on 180707. ref SDS 97 U13F  After several letters,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102608 - scheduled another BPPV examination on 180725 0800, reported today in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102609 - another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102611 -  ..
102612 - Weight - 183 this morning after hiking 11 miles yesterday; and 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102613 - after hiking 17 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102615 -  ..
102616 - Pain medication - acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102617 - on 160101 0700. ref SDS 37 7F6O - acetaminophen today, with no NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102618 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102619 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102621 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102622 -                                                    Pain Level  Route
102623 -         ..
102624 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102625 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102626 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102627 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102628 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102629 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102630 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102631 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102632 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102633 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102634 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102635 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102636 -        Peripheral neruopathy right foot.............   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102638 -  ..
102639 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102640 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102641 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102642 - peripheral neuropathy across ball of right foot after .5 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102643 - lasted about 1 mile at Lafayette Reservoir.  May have occurred again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102644 - on regular route hiking on Clayton at mile 2 for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102646 -  ..
102647 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102648 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102650 -  ..
102651 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102652 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102654 -  ..
102655 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102656 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102657 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102658 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102660 -  ..
102661 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102662 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102663 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102664 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102665 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102667 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102668 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102669 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102670 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102671 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102672 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102673 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102674 -        again today.................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102676 -  ..
102677 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102678 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102679 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102681 -  ..
102682 - Left knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102683 - Crystal Ranch Road and downhill on Rolling Woods Way.  Pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102684 - internally at miniscus.  After hike, felt some swelling going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102685 - upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102687 -  ..
102688 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102689 - Crystal Ranch Road and downhill on Rolling Woods Way.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102690 - felt no swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102692 -  ..
102693 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102694 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102695 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102696 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102697 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102699 -  ..
102700 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102701 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  First went to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102702 - Lafayette Reservoir with Kathy.  Hiked slowly about 1 mile, and she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102703 - had to rest on a bench.  Then hiked rest of lap at fast pace.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102704 - hills well.  Hiked to end of dam, and then back again for total of 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102705 - miles.  Returned home and hiked regular route.  Starting energy good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102706 - after 4 mile warm up.  Calfs pain level 0.  Left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102707 - pain level 0 entire hike.  Time to 1.25 miles 17 minutes.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102708 - pace on Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102709 - entire hike.  No burning sensation right foot entire hike.  Calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102710 - big toes both feet pain level 0 entire hike, because of maintenance on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102711 - 180721, per above. ref SDS 0 PXSP  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102712 - pain level 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102713 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102714 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102715 - flow.  Mild headwind today.  Time mile 4.25 66 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102716 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102717 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102718 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102719 - down steep hill toward Rolling Woods Way slower pace to protect knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102720 - Left knee pain level 0 entire distance.  Right knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102721 - Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102722 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102723 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102724 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102725 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102726 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102727 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102728 - knee.  Turned corner onto Pine Hollow.  Felt weak for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102729 - Stopped at Texaco gas station at Pine Hollow and Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102730 - drank few sips of Coke and Mountain Dew.  Resumed hike on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102731 - Valley Road about 1 mile back to Crystal Ranch Road.  Strength seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102732 - to increase, possibly from liquid at Texaco.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102733 - uphill and continued past Cowell to summit of Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102734 - Light jogging gong downhill 2 miles to Oak Grove.  Called Kathy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102735 - meet at corner of Treat.  Maintained fast pace on Oak Grove 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102736 - Kathy drove us home from corner of Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102738 -  ..
102739 - Breakfast - ensure with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102740 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102741 - Dinner - pasta avocado hamburger asparagus onion, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102743 -  ..
102744 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102748 -         ..
102749 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102750 -  210.  180728 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102751 -               0820....BP HR with Diff........................................... 127  74  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102752 -               0825....BP HR with Diff........................................... 121  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102753 -               0830....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102754 -               0830... 20 15580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102755 -               0830... 80 84700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102756 -               0000....1000 108000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102757 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102758 -               0830... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102759 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102760 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102761 -               0000... Naproxen (Aleve) 400  60200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102762 -          * cr 0950....miles...........  17.0  81.00  263 1253 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102763 -               1505....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102764 -               1510....BP HR with Diff........................................... 103  73 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102765 -               1515....BP HR with Diff...........................................  97  69  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102766 -               1700... 40 34800 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102767 -             1 0000............ 10 10490  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102768 -             1 0000............ 10 10080  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102769 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102770 -               1950... 40 15080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102771 -               2020... 1000  212000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102772 -               2130... 80 84780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102774 -  ..
102775 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102777 -  ..
102778 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102779 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102780 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102781 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102783 -  ..
102784 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102785 - gastrointestinal drugs last night, and after hiking 17 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102786 - yesterday. per above. ref SDS 0 2Y6I  BP and HR okay after hiking 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102787 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102789 -  ..
102790 - BPPV - dizziness - was not noticably wobbly after getting up from bed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102791 - after treatment by Doctor Wiseman on 180725 0800. ref SDS A2 VL73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102792 - This followed letter to Doctor Wiseman requesting meeting for further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102793 - treatment, sent on 180707. ref SDS 97 U13F  After several letters,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102794 - scheduled another BPPV examination on 180725 0800, reported today in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102795 - another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102797 -  ..
102798 - Weight - 182 this morning after hiking 17 miles yesterday; and 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102799 - after hiking 17 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102801 -  ..
102802 - Pain medication - hydrocodone with acetaminophen today, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102803 - ref SDS 0 1E4M  Acetaminophen began on 170825, shown in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102804 - 160101 0700, ref SDS 37 7F6O - was paused today, in order to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102805 - side effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102806 - EZ7G  Did not take NSAID (ibuprofen) after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102807 - 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102809 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102810 -                                                    Pain Level  Route
102811 -         ..
102812 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102813 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102814 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102815 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102816 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102817 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102818 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102819 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102820 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102821 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102822 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102823 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102824 -        Peripheral neruopathy right foot.............   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102826 -  ..
102827 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102828 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102829 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102830 - peripheral neuropathy across ball of right foot after .5 miles and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102831 - lasted about 1 mile at Lafayette Reservoir.  May have occurred again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102832 - on regular route hiking on Clayton at mile 2 for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102834 -  ..
102835 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102836 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102838 -  ..
102839 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102840 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102842 -  ..
102843 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102844 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102845 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102846 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102848 -  ..
102849 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102850 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102851 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102852 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102853 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102855 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102856 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102857 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102858 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102859 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102860 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102861 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102862 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102864 -  ..
102865 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102866 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102867 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102869 -  ..
102870 - Left knee - pain level 2 getting up and walking around the house, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102871 - planned to take Glucosamine Chondroitin, but forgot before leaving on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102872 - hike.  Hydrocodone masked pain during hike at Lafayette Reservoir, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102873 - again hiking local route, per below. ref SDS 0 RQQR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102875 -  ..
102876 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102877 - Crystal Ranch Road and downhill on Rolling Woods Way.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102878 - felt no swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102880 -  ..
102881 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102882 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102883 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102884 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102885 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102887 -  ..
102888 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102889 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  First went to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102890 - Lafayette Reservoir with Kathy.  Hiked slowly about 1 mile, and she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102891 - had to rest on a bench.  Then hiked rest of lap at fast pace.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102892 - hills well.  Hiked to end of dam, and then back again for total of 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102893 - miles.  Returned home and hiked regular route.  Starting energy good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102894 - after 4 mile warm up.  Calfs pain level 0.  Left foot tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102895 - pain level 0 entire hike.  Time to 1.25 miles 18 minutes.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102896 - pace on Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102897 - entire hike.  No burning sensation right foot entire hike.  Calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102898 - big toes both feet pain level 0 entire hike, because of maintenance on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102899 - 180721, per above. ref SDS 0 PXSP  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102900 - pain level 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102901 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102902 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102903 - flow.  Mild headwind today.  Time mile 4.25 66 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102904 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102905 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102906 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102907 - down steep hill toward Rolling Woods Way slower pace to protect knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102908 - Left knee pain level 0 entire distance.  Right knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102909 - Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102910 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102911 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102912 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102913 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102914 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102915 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102916 - knee.  Turned corner onto Pine Hollow.  Felt weak for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102917 - Stopped at Texaco gas station at Pine Hollow and Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102918 - drank few sips of Coke and Mountain Dew.  Resumed hike on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102919 - Valley Road about 1 mile back to Crystal Ranch Road.  Strength seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102920 - to increase, possibly from liquid at Texaco.  Increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102921 - uphill and continued past Cowell to summit of Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102922 - Light jogging gong downhill 2 miles to Oak Grove.  Called Kathy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102923 - meet at corner of Treat.  Maintained fast pace on Oak Grove 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102924 - Kathy drove us home from corner of Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102926 -  ..
102927 - Breakfast - ensure with hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102928 - Lunch - sandwich balogny cheese tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102929 - Dinner - pasta avocado hamburger asparagus onion, jello                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102931 -  ..
102932 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102936 -         ..
102937 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102938 -  211.  180729 0805..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102939 -               0900....BP HR with Diff........................................... 137  79  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102940 -               0905....BP HR with Diff........................................... 130  77  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102941 -               0910....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102942 -               0910... 20 15600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102943 -               0910... 80 84860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102944 -               0910... Naproxen (Aleve) 1 pill 220  60420                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102945 -               0910....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102946 -               0000....1000 108000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102947 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102948 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102949 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102950 -          * cr 1020....miles...........  15.0  96.00  236 1489 minutes temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102951 -               1440....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102952 -               1445....BP HR with Diff........................................... 102  72 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102953 -               1515....BP HR with Diff........................................... 107  71 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102954 -               1700... 40 34840 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102955 -               1850............ 10 10500  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102956 -               1850............ 10 10090  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102957 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102958 -               2000... 40 15120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102959 -               2020... 1000  213000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102960 -               2110... 80 84940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102962 -  ..
102963 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102965 -  ..
102966 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102967 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102968 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102969 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102971 -  ..
102972 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102973 - gastrointestinal drugs last night, and after hiking 17 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102974 - yesterday. per above. ref SDS 0 1E4M  BP and HR okay after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102975 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102977 -  ..
102978 - BPPV - dizziness - was not noticably wobbly after getting up from bed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102979 - after treatment by Doctor Wiseman on 180725 0800. ref SDS A2 VL73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102980 - This followed letter to Doctor Wiseman requesting meeting for further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102981 - treatment, sent on 180707. ref SDS 97 U13F  After several letters,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102982 - scheduled another BPPV examination on 180725 0800, reported today in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102983 - another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102985 -  ..
102986 - Weight - 184 this morning after hiking 17 miles yesterday; and 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102987 - after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102989 -  ..
102990 - Pain medication - naproxen NSAID today, taking only 1 pill 220 mg, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102991 - above. ref SDS 0 H29L  Normally take 2 pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102992 - chances of pills getting stuck above LESV causing ulceration.  Will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102993 - try 1 pill today, and not adequate pain relief, tomorrow will carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102994 - 2nd pill and take it after 2 hours about half way through hike at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102995 - 7 or so.  This should eliminate acetaminophen and avoid ulceration of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102996 - LESV, and provide pain relief about as effective as hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102997 - (which is actually Norco that has acetaminophen).  Acetaminophen began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102998 - on 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102999 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103000 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103001 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103002 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103004 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103005 -                                                    Pain Level  Route
103006 -         ..
103007 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103008 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103009 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103010 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103011 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103012 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103013 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103014 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103015 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103016 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103017 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103018 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103019 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103020 -        Body painful after 15 miles OA 1900..........   2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103022 -  ..
103023 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103024 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103025 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103026 - no peripheral neuropathy in right foot entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103028 -  ..
103029 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103030 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103032 -  ..
103033 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103034 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103036 -  ..
103037 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103038 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103039 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103040 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103042 -  ..
103043 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103044 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103045 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103046 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103047 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103049 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103050 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103051 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103052 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103053 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103054 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103055 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103056 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103058 -  ..
103059 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103060 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103061 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103063 -  ..
103064 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103065 - from thinning miniscus.  Also took Naproxen 220 mg.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103066 - below knee cap (patela) going downhill on Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103067 - downhill on Rolling Woods Way.  Pain level 0 internally at miniscus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103068 - After hike, felt some swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103070 -  ..
103071 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103072 - Crystal Ranch Road and downhill on Rolling Woods Way.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103073 - felt no swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103075 -  ..
103076 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103077 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103078 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103079 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103080 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103082 -  ..
103083 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103084 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103085 - good.  Calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103086 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103087 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103088 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103089 - both feet pain level 0 entire hike, because of maintenance on 180721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103090 - per above. ref SDS 0 PXSP  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103091 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103092 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103093 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103094 - headwind today.  Time mile 4.25 66 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103095 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103096 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103097 - uphill.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103098 - hill toward Rolling Woods Way slower pace to protect knees.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103099 - pain level 0 entire distance.  Right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103100 - treatments on 170726, 180105, and most recently on 180620, 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103101 - ref SDS 94 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103102 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103103 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103104 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103105 - increased pace for .3 miles - pain level 0.  Going downhill slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103106 - pace.  Pain level 0 left knee and pain level 0 right knee.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103107 - corner onto Pine Hollow.  Felt weak for about .5 miles; completed 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103108 - mile to Ygnacio Valley Road.  Turned corner and hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103109 - Crystal Ranch Road.  Maintained pace going uphill and continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103110 - Cowell to summit of Ygnacio Valley Road.  Good pace going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103111 - 2 miles to Oak Grove.  Turned corcer onto Treat and hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103112 - hill.  Maintained pace uphill to Cuneo and then home.  Did not hike 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103113 - mile loop at the end.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103115 -  ..
103116 - Breakfast - cheerios chia seeds milk with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103117 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103118 - Dinner - pasta hamburger tomato asparagus onion, potato salad beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103120 -  ..
103121 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103125 -         ..
103126 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103127 -  212.  180730 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103128 -               0700....BP HR with Diff........................................... 136  74  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103129 -               0705....BP HR with Diff........................................... 125  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103130 -               0710....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103131 -               0710... 20 15600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103132 -               0710... 80 84860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103133 -               0920... Naproxen (Aleve) 1 pill 220  60420                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103134 -               0920....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103135 -               0000....1000 108000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103136 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103137 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103138 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103139 -          * cr 1150....miles...........  11.0  11.00  173  173 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103140 -               1510....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103141 -               1515....BP HR with Diff........................................... 103  74 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103142 -               1520....BP HR with Diff........................................... 102  61  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103143 -               1640... 40 34840 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103144 -             1 0000............ 10 10500  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103145 -             1 0000............ 10 10090  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103146 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103147 -               1930... 40 15120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103148 -               2010... 1000  213000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103149 -               2050... 80 84940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103151 -  ..
103152 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103154 -  ..
103155 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103156 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103157 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103158 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103160 -  ..
103161 - Blood pressure okay and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103162 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103163 - yesterday. per above. ref SDS 0 H29L  BP and HR okay after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103164 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103166 -  ..
103167 - BPPV - dizziness - was not noticably wobbly after getting up from bed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103168 - after treatment by Doctor Wiseman on 180725 0800. ref SDS A2 VL73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103169 - This followed letter to Doctor Wiseman requesting meeting for further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103170 - treatment, sent on 180707. ref SDS 97 U13F  After several letters,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103171 - scheduled another BPPV examination on 180725 0800, reported today in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103172 - another record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103174 -  ..
103175 - Weight - 184 this morning after hiking 15 miles yesterday; and 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103176 - after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103178 -  ..
103179 - Pain medication - naproxen NSAID today, taking only 1 pill 220 mg, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103180 - above. ref SDS 0 H29L  Normally take 2 pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103181 - chances of pills getting stuck above LESV causing ulceration.  Will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103182 - try 1 pill today, and not adequate pain relief, tomorrow will carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103183 - 2nd pill and take it after 2 hours about half way through hike at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103184 - 7 or so.  This should eliminate acetaminophen and avoid ulceration of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103185 - LESV, and provide pain relief about as effective as hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103186 - (which is actually Norco that has acetaminophen).  Acetaminophen began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103187 - on 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103188 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103189 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103190 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103191 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103193 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103194 -                                                    Pain Level  Route
103195 -         ..
103196 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103197 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103198 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103199 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103200 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103201 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103202 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103203 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103204 -        Left knee....................................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103205 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103206 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103207 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103208 -        Peripheral neruopathy right foot.............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103210 -  ..
103211 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103212 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103213 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103214 - slight peripheral neuropathy in right foot on Clayton for about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103215 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103217 -  ..
103218 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103219 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103221 -  ..
103222 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103223 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103225 -  ..
103226 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103227 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103228 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103229 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103231 -  ..
103232 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103233 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103234 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103235 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103236 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103238 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103239 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103240 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103241 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103242 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103243 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103244 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103245 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103247 -  ..
103248 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103249 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103250 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103252 -  ..
103253 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103254 - from thinning miniscus.  Also took Naproxen 220 mg.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103255 - below knee cap (patela) going downhill on Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103256 - downhill on Rolling Woods Way.  Pain level 0 internally at miniscus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103257 - After hike, felt some swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103259 -  ..
103260 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103261 - Crystal Ranch Road and downhill on Rolling Woods Way.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103262 - felt no swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103264 -  ..
103265 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103266 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103267 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103268 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103269 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103271 -  ..
103272 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103273 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103274 - good.  Calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103275 - entire hike.  Raced another hiker for about .5 miles until he turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103276 - the corner.  Time to 1.25 miles 16 minutes.  Stopped hike at Cuts Plus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103277 - for haircut.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103278 - Metatarsalgia pain level 0 entire hike.  No burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103279 - foot entire hike.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103280 - hike, because of maintenance on 180721, per above. ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103281 - Right foot plantar plate injury pain level 0.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103282 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103283 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103284 - hike against Eastbound traffic flow.  Mild headwind today.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103285 - 4.25 64 minutes.  Continuing on Ygnacio Valley Road 1 mile.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103286 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103287 - Ranch Road.  Good pace going 1 mile uphill breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103288 - entire length indicates increasing pulmonary function.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103289 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103290 - Woods Way slower pace to protect knees.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103291 - distance.  Right knee pain level 0.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103292 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103293 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103294 - calluses both feet, indicating effective protection wearing Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103295 - socks received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103296 - Woods Way.  Going up steep hill felt strong - increased pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103297 - miles - pain level 0.  Going downhill slowed pace.  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103298 - knee and pain level 0 right knee.  Turned corner onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103299 - Felt weak for about .5 miles; completed 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103300 - Turned corner and hiked 1 mile back to Crystal Ranch Road.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103301 - pace going uphill.  Sprinted last 50 yards to Cowell to make traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103302 - light, and turned corner.  Hiked going downhill on Cowell.  Felt MCL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103303 - left knee, so slowed pace.  After 1 mile, turned onto Treat and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103304 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103306 -  ..
103307 - Breakfast - cheerios chia seeds milk with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103308 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103309 - Dinner - pasta hamburger tomato asparagus onion potato salad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103311 -  ..
103312 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103316 -         ..
103317 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103318 -  213.  180731 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103319 -               0650....BP HR with Diff........................................... 140  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103320 -               0655....BP HR with Diff........................................... 144  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103321 -               0700....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103322 -               0700... 20 15620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103323 -               0700... 80 85020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103324 -               1000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103325 -               1000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103326 -               0000... Naproxen (Aleve) 1 pill 220  60420                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103327 -               0000....1000 108000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103328 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103329 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103330 -          * cr 1400....miles...........  15.0  26.00  237  410 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103331 -               1820....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103332 -               1825....BP HR with Diff........................................... 100  71 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103333 -               1830....BP HR with Diff...........................................  95  70 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103334 -               1900... 40 34880 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103335 -               2050............ 10 10510  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103336 -               2050............ 10 10100  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103337 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103338 -               0000... 40 15120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103339 -               0000... 1000  213000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103340 -               2140... 80 85100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103342 -  ..
103343 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103345 -  ..
103346 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103347 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103348 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103349 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103351 -  ..
103352 - Blood pressure poor and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103353 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103354 - yesterday. per above. ref SDS 0 D28L  BP and HR okay after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103355 - miles today.  Paused Mylanta and Calcium Carbonate to normalize blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103356 - pressure tomorrow morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103358 -  ..
103359 - BPPV - dizziness - was noticably wobbly after getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103360 - rolling over to left side this morning, and after treatment by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103361 - Wiseman on 180725 0800. ref SDS A2 VL73  This followed letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103362 - Doctor Wiseman requesting meeting for further treatment, sent on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103363 - 180707. ref SDS 97 U13F  After several letters, scheduled another BPPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103364 - examination on 180725 0800, reported record on 180718 0809.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103365 - ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103367 -  ..
103368 - Weight - 186 this morning after hiking 11 miles yesterday; and 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103369 - (lost 10 pounds) after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103371 -  ..
103372 - Pain medication - hydrocodone (with acetaminophen - Norco) today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103373 - taking only 1 pill, per above. ref SDS 0 VV7N  Normally take 2 pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103374 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103375 - ulceration.  Will try 1 pill today, and not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103376 - tomorrow will carry 2nd pill and take it after 2 hours about half way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103377 - through hike at mile 7 or so.  This should eliminate acetaminophen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103378 - avoid ulceration of LESV, Acetaminophen began on 170825, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103379 - study on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103380 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103381 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103382 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103384 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103385 -                                                    Pain Level  Route
103386 -         ..
103387 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103388 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103389 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103390 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103391 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103392 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103393 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103394 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103395 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103396 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103397 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103398 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103399 -        Peripheral neruopathy right foot.............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103401 -  ..
103402 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103403 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103404 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103405 - slight peripheral neuropathy in right foot on Treat about mile .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103406 - and for about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103408 -  ..
103409 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103410 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103412 -  ..
103413 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103414 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103416 -  ..
103417 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103418 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103419 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103420 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103422 -  ..
103423 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103424 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103425 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103426 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103427 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103429 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103430 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103431 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103432 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103433 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103434 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103435 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103436 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103438 -  ..
103439 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103440 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103441 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103443 -  ..
103444 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103445 - from thinning miniscus.  Also took Naproxen 220 mg.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103446 - below knee cap (patela) going downhill on Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103447 - downhill on Rolling Woods Way.  Pain level 0 internally at miniscus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103448 - After hike, felt some swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103450 -  ..
103451 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103452 - Crystal Ranch Road and downhill on Rolling Woods Way.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103453 - felt no swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103455 -  ..
103456 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103457 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103458 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103459 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103460 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103462 -  ..
103463 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103464 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103465 - good.  Calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103466 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103467 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103468 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103469 - both feet pain level 0 entire hike, because of maintenance on 180721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103470 - per above. ref SDS 0 PXSP  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103471 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103472 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103473 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103474 - headwind today.  Time mile 4.25 64 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103475 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103476 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103477 - uphill breathing through nose entire length indicates increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103478 - pulmonary function.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103479 - down steep hill toward Rolling Woods Way slower pace to protect knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103480 - Left knee pain level 0 entire distance.  Right knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103481 - Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103482 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103483 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103484 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103485 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103486 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103487 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103488 - knee.  Turned corner onto Pine Hollow.  Felt weak for about .5 miles;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103489 - completed 1 mile to Ygnacio Valley Road.  Turned corner and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103490 - mile back to Crystal Ranch Road.  Maintained pace going uphill past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103491 - Cowell to summit Ygnacio Valley Road.  Increased pace going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103492 - 2 miles to Oak Grove.  Turned corner and hiked 1 mile on Oak Grove to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103493 - Treat.  Sprinted across Treat to beat vehicles turning right on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103494 - traffic light.  Maintained pace 1 mile to hill; slowed pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103495 - uphill then maintained to Cuneo and hiked home without doing last 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103496 - mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103498 -  ..
103499 - Breakfast - cheerios chia seeds milk with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103500 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103501 - Dinner - pasta avocado hamburger asparagus onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103503 -  ..
103504 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103508 -         ..
103509 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103510 -  214.  180801 0850..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103511 -               0910....BP HR with Diff........................................... 119  71  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103512 -               0915....BP HR with Diff........................................... 119  72  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103513 -               0920....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103514 -               0920... 20 15640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103515 -               0920... 80 85180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103516 -               0920... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103517 -               0920....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103518 -               0000... Naproxen (Aleve) 1 pill 220  60420                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103519 -               0000....1000 108000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103520 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103521 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103522 -          * cr 1100....miles...........  15.0  41.00  234  644 minutes temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103523 -               1620....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103524 -               1625....BP HR with Diff...........................................  95  70 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103525 -               1630....BP HR with Diff...........................................  95  64 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103526 -               1700... 40 34920 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103527 -             1 0000............ 10 10510  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103528 -             1 0000............ 10 10100  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103529 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103530 -               0000... 40 15120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103531 -               0000... 1000  213000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103532 -               2140... 80 85260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103534 -  ..
103535 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103537 -  ..
103538 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103539 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103540 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103541 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103543 -  ..
103544 - Blood pressure good and heart rate good today, after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103545 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103546 - yesterday. per above. ref SDS 0 VV7N  BP and HR okay after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103547 - miles today.  Pausing Mylanta and Calcium Carbonate last night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103548 - normalized blood pressure today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103550 -  ..
103551 - BPPV - dizziness - was noticably wobbly after getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103552 - rolling over to left side this morning, and after treatment by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103553 - Wiseman on 180725 0800. ref SDS A2 VL73  This followed letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103554 - Doctor Wiseman requesting meeting for further treatment, sent on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103555 - 180707. ref SDS 97 U13F  After several letters, scheduled another BPPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103556 - examination on 180725 0800, reported record on 180718 0809.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103557 - ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103559 -  ..
103560 - Weight - 183 this morning after hiking 15 miles yesterday; and 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103561 - (lost 7 pounds) after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103563 -  ..
103564 - Pain medication - hydrocodone (with acetaminophen - Norco) today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103565 - taking only 1 pill, per above. ref SDS 0 VV7N  Normally take 2 pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103566 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103567 - ulceration.  Will try 1 pill today, and not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103568 - tomorrow will carry 2nd pill and take it after 2 hours about half way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103569 - through hike at mile 7 or so.  This should eliminate acetaminophen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103570 - avoid ulceration of LESV, Acetaminophen began on 170825, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103571 - study on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103572 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103573 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103574 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103576 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103577 -                                                    Pain Level  Route
103578 -         ..
103579 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103580 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103581 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103582 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103583 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103584 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103585 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103586 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103587 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103588 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103589 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103590 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103591 -        Peripheral neruopathy right foot.............   1         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103593 -  ..
103594 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103595 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103596 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103597 - slight peripheral neuropathy in right foot on Treat about mile .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103598 - and for about 1 mile.  Seemed to occur again on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103599 - about mile 4 and for about 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103601 -  ..
103602 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103603 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103605 -  ..
103606 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103607 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103609 -  ..
103610 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103611 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103612 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103613 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103615 -  ..
103616 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103617 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103618 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103619 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103620 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103622 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103623 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103624 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103625 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103626 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103627 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103628 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103629 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103631 -  ..
103632 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103633 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103634 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103636 -  ..
103637 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103638 - from thinning miniscus.  Also took Naproxen 220 mg.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103639 - below knee cap (patela) going downhill on Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103640 - downhill on Rolling Woods Way.  Pain level 0 internally at miniscus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103641 - After hike, felt some swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103643 -  ..
103644 - Right knee - pain level 0 below knee cap (patela) going downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103645 - Crystal Ranch Road and downhill on Rolling Woods Way.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103646 - felt no swelling going upstairs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103648 -  ..
103649 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103650 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103651 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103652 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103653 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103655 -  ..
103656 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103657 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103658 - good.  Calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103659 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103660 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103661 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103662 - both feet pain level 0 entire hike, because of maintenance on 180721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103663 - per above. ref SDS 0 PXSP  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103664 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103665 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103666 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103667 - headwind today.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103668 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103669 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103670 - uphill breathing through nose entire length indicates increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103671 - pulmonary function.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103672 - down steep hill toward Rolling Woods Way slower pace to protect knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103673 - Left knee pain level 0 entire distance.  Right knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103674 - Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103675 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103676 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103677 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103678 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103679 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103680 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103681 - knee.  Turned corner onto Pine Hollow.  Felt weak for about .5 miles;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103682 - completed 1 mile to Ygnacio Valley Road.  Turned corner and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103683 - mile back to Crystal Ranch Road.  Decided to hike 2nd 4 mile loop, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103684 - turned corner again and hiked 1 mile uphill at slower pace than 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103685 - pass.  At summit maintained pace on flat ground.  Slowed pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103686 - downhill pain level 0 left knee.  Turned corner and hiked up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103687 - hill on Rolling Woods Way.  Slowed pace going downhill, again left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103688 - knee pain level 0.  Turned corner onto Pine Hollow.  Hiked 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103689 - to Ygnacio Valley Road.  Turned corner and hiked back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103690 - Road to complete 2nd 4 mile loop.  Hiked 1 mile uphill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103691 - Turned corner and hiked 1 mile to Treat.  Turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103692 - back home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103694 -  ..
103695 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103696 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103697 - Dinner - avocado tuna onion tomato cumcumber mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103699 -  ..
103700 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103704 -         ..
103705 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103706 -  215.  180802 0210..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103707 -               0230....BP HR with Diff........................................... 137  79  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103708 -               0235....BP HR with Diff........................................... 136  77  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103709 -               0240....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103710 -               0240... 20 15660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103711 -               0240....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103712 -               0900... 80 85340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103713 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103714 -               0000... Naproxen (Aleve) 1 pill 220  60420                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103715 -               0000....1000 108000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103716 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103717 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103718 -               1710... 40 34960 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103719 -               1900............ 10 10520  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103720 -               1900............ 10 10110  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103721 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103722 -               0000... 40 15120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103723 -               0000... 1000  213000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103724 -               2010... 80 85420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103726 -  ..
103727 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103729 -  ..
103730 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103731 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103732 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103733 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103735 -  ..
103736 - Blood pressure poor and heart rate okay today, after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103737 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103738 - yesterday. per above. ref SDS 0 4A7F  No hiking today.  Pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103739 - Mylanta and Calcium Carbonate last night failed to normalize blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103740 - pressure today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103742 -  ..
103743 - BPPV - dizziness - was noticably wobbly after getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103744 - rolling over to left side this morning, and after treatment by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103745 - Wiseman on 180725 0800. ref SDS A2 VL73  This followed letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103746 - Doctor Wiseman requesting meeting for further treatment, sent on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103747 - 180707. ref SDS 97 U13F  After several letters, scheduled another BPPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103748 - examination on 180725 0800, reported record on 180718 0809.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103749 - ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103751 -  ..
103752 - Weight - 182 this morning after hiking 15 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103754 -  ..
103755 - Pain medication - none today, in order to avoid influence on lab.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103756 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103757 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103758 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103759 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103760 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103761 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103762 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103763 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103764 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103765 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103767 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103768 -                                                    Pain Level   Day
103769 -         ..
103770 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103771 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103772 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103773 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103774 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103775 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103776 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103777 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103778 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103779 -        Right knee...................................   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103780 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103781 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103782 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103784 -  ..
103785 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103786 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103787 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103788 - no peripheral neuropathy in right foot walking around VAMCSF campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103789 - for about 2 miles, after not taking statins last night. ref SDS 0 4A7F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103791 -  ..
103792 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103793 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103795 -  ..
103796 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103797 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103799 -  ..
103800 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103801 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103802 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103803 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103805 -  ..
103806 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103807 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103808 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103809 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103810 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103812 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103813 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103814 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103815 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103816 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103817 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103818 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103819 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103821 -  ..
103822 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103823 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103824 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103826 -  ..
103827 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103828 - from thinning miniscus.  Pain level 0 walking around VAMC San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103829 - Francisco campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103831 -  ..
103832 - Right knee - pain level 2 within knee walking round VAMCSF campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103833 - about 2 miles.  This is relatively new - have not felt right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103834 - pain for some time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103836 -  ..
103837 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103838 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103839 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103840 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103841 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103843 -  ..
103844 - Hiking - none.  Arrived at VAMCSF OA 0430.  Was prepared for 12 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103845 - hike through Golden Gate Park.  Weather was very adverse with heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103846 - fog, wind, and cold.  Walked around campus about 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103848 -  ..
103849 - Breakfast - eggs sausage hashbrown potatoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103850 - Lunch - sandwich ham cheese onion tomato chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103851 - Dinner - hamburber potato salad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103853 -  ..
103854 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103858 -         ..
103859 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103860 -  216.  180803 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103861 -               0930....BP HR with Diff........................................... 132  75  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103862 -               0935....BP HR with Diff........................................... 134  72  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103863 -               0940....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103864 -               0940... 20 15680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103865 -               0940....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103866 -               0940... 80 85500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103867 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103868 -               0940... Naproxen (Aleve) 1 pill 220  60640                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103869 -               0000....1000 108000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103870 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103871 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103872 -          * cr 1130....miles...........  11.0  52.00  174  814 minutes temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103873 -               1445....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103874 -               1455....BP HR with Diff........................................... 104  68 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103875 -               1500....BP HR with Diff...........................................  96  65 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103876 -               1710... 40 35000 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103877 -             1 0000............ 10 10520  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103878 -             1 0000............ 10 10110  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103879 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103880 -               0000... 40 15120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103881 -               0000... 1000  213000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103882 -               2010... 80 85580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103884 -  ..
103885 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103887 -  ..
103888 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103889 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103890 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103891 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103893 -  ..
103894 - Blood pressure poor and heart rate very good today, after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103895 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103896 - per above. ref SDS 0 916L  HR good after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103897 - Pausing Mylanta and Calcium Carbonate last night failed to normalize                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103898 - blood pressure today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103900 -  ..
103901 - BPPV - dizziness - was not noticably wobbly after getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103902 - this morning, and after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103903 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103904 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103905 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103906 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103908 -  ..
103909 - Weight - 183 this morning after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103911 -  ..
103912 - Pain medication - Naproxex 1 pill 220 mg today, and small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103913 - cheerios with chia seeds and milk.  Pill did not seem stuck in throat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103914 - like it did 2 days ago.  Normally take 2 Naproxen or Hydrodocone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103915 - pills, but this increases chances of pills getting stuck above LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103916 - causing ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103917 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103918 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103919 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103920 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103921 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103922 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103923 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103924 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103926 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103927 -                                                    Pain Level   Day
103928 -         ..
103929 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103930 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103931 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103932 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103933 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103934 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103935 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103936 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103937 -        Left knee....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103938 -        Right knee...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103939 -        Hip left.....................................   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103940 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103941 -        Peripheral neruopathy right foot.............   0         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103943 -  ..
103944 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103945 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103946 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103947 - peripheral neuropathy in right foot on Clayton about mile 2.75 until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103948 - about mile 4.5 on Ygnacio Valley Road, and after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103949 - night, per above. ref SDS 0 916L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103951 -  ..
103952 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103953 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103955 -  ..
103956 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103957 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103959 -  ..
103960 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103961 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103962 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103963 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103965 -  ..
103966 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103967 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103968 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103969 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103970 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103972 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103973 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103974 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103975 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103976 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103977 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103978 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103979 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103981 -  ..
103982 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103983 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103984 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103986 -  ..
103987 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103988 - from thinning miniscus.  Pain level 0 entire hike 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103990 -  ..
103991 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103992 - from thinning miniscus.  Pain level 0 entire hike 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103994 -  ..
103995 - Hip left, pain level 1 about mile 2.75 until after starting up Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103996 - Ranch Road then subsided about mile 5, and did not return.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103998 -  ..
103999 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104000 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104001 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104002 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104003 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104005 -  ..
104006 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104007 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104008 - good.  Calfs pain level 2; seemed odd since no hiking yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104009 - Left foot tailor's bunion pain level 0 entire hike.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104010 - miles 18 minutes.  Turned corner onto Clayton.  Maintained pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104011 - on concrete sidewalk.  Metatarsalgia pain level 0 entire hike.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104012 - burning sensation right foot entire hike.  Calluses big toes both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104013 - pain level 0 entire hike, because of maintenance on 180727, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104014 - ref SDS 0 QXYP  Right foot plantar plate injury pain level 0.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104015 - mile 2.75 left hip pain level 1 and peripheral neuropathy in right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104016 - foot.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104017 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104018 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104019 - mile 4.25 67 minutes.  Continuing on Ygnacio Valley Road 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104020 - mile 4.75 turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104021 - Moderate pace feeling effort going 1 mile uphill.  Noticed left hip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104022 - pain level 0 and peripheral neuropathy in right foot subsided.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104023 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104024 - Rolling Woods Way slower pace to protect knees.  Left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104025 - 0 entire distance.  Right knee pain level 0.  Indicates PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104026 - on 170726, 180105, and most recently on 180620, 180620, ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104027 - 0001, effective preventing osteoarthritis.  No blisters and pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104028 - 0 calluses both feet, indicating effective protection wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104029 - Smartwool socks received on 180530 0726, ref SDS 92 9O6X, Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104030 - Rolling Woods Way.  Going up steep hill felt okay - maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104031 - for .3 miles - pain level 0.  Going downhill slowed pace.  Pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104032 - 0 left knee and pain level 0 right knee.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104033 - Hollow.  Felt weak for about .5 miles; completed 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104034 - Valley Road.  Crossed street and started into parking area at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104035 - station to get softdrink, planning to hike 15 miles today.  Changed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104036 - mind decided to hike only 11 miles, so crossed back across Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104037 - Hollow.  Turned corner and hiked 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104038 - Maintained pace going uphill.  Sprinted last 30 yards to Cowell to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104039 - make traffic light, and turned corner.  Slowed pace hiking downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104040 - Cowell for 1 mile.  Turned onto Treat and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104042 -  ..
104043 - Breakfast - cheerios chia seeds milk with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104044 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104045 - Dinner - squash hamburger onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104047 -  ..
104048 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104052 -         ..
104053 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104054 -  217.  180804 0630..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104055 -               0750....BP HR with Diff........................................... 139  82  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104056 -               0755....BP HR with Diff........................................... 126  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104057 -               0800....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104058 -               0800... 20 15700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104059 -               0800....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104060 -               0800... 80 85660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104061 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104062 -               0000... Naproxen (Aleve) 1 pill 220  60640                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104063 -               0800....1000 109000 acetaminophen - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104064 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104065 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104066 -          * cr 1030....miles...........   9.0  61.00  141  959 minutes temp  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104067 -               1305....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104068 -               1310....BP HR with Diff........................................... 111  78 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104069 -               1315....BP HR with Diff........................................... 107  76  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104070 -               1820... 40 35040 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104071 -               1920............ 10 10530  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104072 -               1920............ 10 10120  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104073 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104074 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104075 -               0000... 40 15120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104076 -               2010... 1000  214000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104077 -               2150... 80 85740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104079 -  ..
104080 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104082 -  ..
104083 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104084 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104085 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104086 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104088 -  ..
104089 - Blood pressure good and heart rate good today, after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104090 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104091 - yesterday. per above. ref SDS 0 DP6K  HR okay after hiking 9 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104092 - today with temperature 97.  Pausing Mylanta and Calcium Carbonate last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104093 - night failed to normalize blood pressure today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104095 -  ..
104096 - BPPV - dizziness - continually feeling noticably wobbly after getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104097 - up from bed this morning, and after treatment by Doctor Wiseman on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104098 - 180725 0800. ref SDS A2 VL73  This followed letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104099 - requesting meeting for further treatment, sent on 180707. ref SDS 97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104100 - U13F  After several letters, scheduled another BPPV examination on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104101 - 180725 0800, reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104103 -  ..
104104 - Weight - 185 this morning after hiking 11 miles yesterday.  Seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104105 - conflicting with amount of food and liquid consumed after the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104106 - weighting 177.  Weight 178 losing 7 pounds over only 9 miles reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104107 - high temperature 97.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104109 -  ..
104110 - Pain medication - Acetaminophen 1000 mg liquid (non-NSAID) today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104111 - This reduces risk of Naproxex 1 pill 220 mg getting stuck above LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104112 - and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104113 - conflicts with PRP line of care) got stuck 2 days ago, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104114 - yesterday on 180703, per above. ref SDS 0 SQTY  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104115 - cheerios with chia seeds, strawberries and milk.  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104116 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104117 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104118 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104119 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104120 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104121 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104122 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104123 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104124 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104125 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104127 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104128 -                                                    Pain Level   Day
104129 -         ..
104130 -        Hip left.....................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104131 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104132 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104133 -        Knee right...................................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104134 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104135 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104136 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104137 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104138 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104139 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104140 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104141 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104142 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104143 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104144 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104146 -  ..
104147 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104148 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104149 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104150 - very mild peripheral neuropathy in right foot on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104151 - about mile 4.25 until about mile 4.5 on Ygnacio Valley Road, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104152 - taking statins last night, per above. ref SDS 0 916L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104154 -  ..
104155 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104156 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104158 -  ..
104159 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104160 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104162 -  ..
104163 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104164 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104165 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104166 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104168 -  ..
104169 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104170 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104171 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104172 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104173 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104175 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104176 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104177 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104178 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104179 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104180 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104181 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104182 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104183 -        again today.................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104185 -  ..
104186 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104187 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104188 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104190 -  ..
104191 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104192 - from thinning miniscus.  Pain level 0 entire hike 9 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104194 -  ..
104195 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104196 - from thinning miniscus.  Pain level 1 short distance on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104197 - Road going uphill - unusual, since going uphill normally relieves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104198 - knee pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104200 -  ..
104201 - Hip left, pain level 1 about mile 3.25 and subsided at mile 4.25 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104202 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104204 -  ..
104205 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104206 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104207 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104208 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104209 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104211 -  ..
104212 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104213 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104214 - low, but forces fast pace.  Calfs pain level 0; Left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104215 - bunion pain level 0 entire hike.  Sprinted across Cowell about 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104216 - yards.  Time to 1.25 miles 17 minutes.  Turned corner onto Clayton.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104217 - Maintained pace hiking on concrete sidewalk.  Metatarsalgia pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104218 - 0 entire hike.  No burning sensation right foot entire hike.  Calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104219 - big toes both feet pain level 0 entire hike, because of maintenance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104220 - this morning on 180804, per above. ref SDS 0 SSYQ  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104221 - plate injury pain level 0.  About mile 3.25 left hip pain level 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104222 - subsided about mile 4.25 near Pine Hollow.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104223 - Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104224 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104225 - hike against Eastbound traffic flow.  Time mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104226 - Peripheral neuropathy right foot near mile 4.25, until about mile 4.5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104227 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104228 - and hiked 4-mile loop on Crystal Ranch Road.  Moderate pace feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104229 - effort going 1 mile uphill.  Noticed left hip pain level 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104230 - peripheral neuropathy in right foot subsided.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104231 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104232 - slower pace to protect knees.  Left knee pain level 0 entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104233 - Half way up noticed right knee pain level 1 - subsided before reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104234 - summit.  Indicates PRP treatments on 170726, 180105, and most recently                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104235 - on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104236 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104237 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104238 - 180530 0726. ref SDS 92 9O6X  Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104239 - steep hill felt okay - maintained pace for .3 miles - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104240 - Going downhill slowed pace.  Pain level 0 left knee and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104241 - right knee.  Turned corner onto Pine Hollow.  Felt weak for about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104242 - miles due to heat.  Called Kathy to meet at Texaco station at corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104243 - Pine Hollow and Ygnacio Valley Road.  Completed hiking 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104244 - Ygnacio Valley Road.  Crossed street went into store at gas station.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104245 - Bought softdrink with ice to cool off.  Kathy arrived and we drove to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104246 - Skipolini's for lunch.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104248 -  ..
104249 - Breakfast - cheerios chia seeds milk with Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104250 - Lunch - pizza - part of 2 small slices                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104251 - Dinner - pizza beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104253 -  ..
104254 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104258 -         ..
104259 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104260 -  218.  180805 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104261 -               0820....BP HR with Diff........................................... 144  78  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104262 -               0825....BP HR with Diff........................................... 136  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104263 -               0830....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104264 -               0830... 20 15720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104265 -               0830....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104266 -               0830... 80 85820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104267 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104268 -               0000... Naproxen (Aleve) 1 pill 220  60640                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104269 -               0800....1000 110000 acetaminophen liquic - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104270 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104271 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104272 -          * cr 0930....miles...........  17.0  78.00  262 1221 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104273 -               1540....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104274 -               1550....BP HR with Diff........................................... 105  69 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104275 -               1555....BP HR with Diff........................................... 101  71 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104276 -               1600... 40 35080 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104277 -             1 0000............ 10 10530  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104278 -             1 0000............ 10 10120  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104279 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104280 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104281 -               1950... 40 15120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104282 -               2030... 1000  215000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104283 -               2120... 80 85900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104285 -  ..
104286 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104288 -  ..
104289 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104290 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104291 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104292 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104294 -  ..
104295 - Blood pressure poor and heart rate good today, after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104296 - gastrointestinal drugs last night, and after hiking 9 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104297 - per above. ref SDS 0 WR5J  BP okay after hiking 17 miles today with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104298 - temperature 88.  Pausing Mylanta last night failed to normalize blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104299 - pressure today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104301 -  ..
104302 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104303 - morning, and after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104304 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104305 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104306 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104307 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104309 -  ..
104310 - Weight - 184 this morning after hiking 9 miles yesterday.  Aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104311 - amount of food and liquid consumed after the hike weighting 178.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104312 - Weight 176 losing 8 pounds over 17 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104314 -  ..
104315 - Pain medication - Acetaminophen 1000 mg liquid (non-NSAID) 2nd day in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104316 - a row.  Reduces risk of Naproxex 1 pill 220 mg getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104317 - LESV and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104318 - conflicts with PRP line of care) got stuck 2 days ago, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104319 - yesterday on 180703, per above. ref SDS 0 SQTY  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104320 - cheerios with chia seeds, strawberries and milk.  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104321 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104322 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104323 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104324 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104325 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104326 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104327 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104328 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104329 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104330 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104332 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104333 -                                                    Pain Level   Day
104334 -         ..
104335 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104336 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104337 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104338 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104339 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104340 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104341 -        Tailor's Bunion left foot....................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104342 -        Tailor's Bunion right foot...................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104343 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104344 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104345 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104346 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104347 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104348 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104349 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104350 -        Peripheral neruopathy right foot.............   0         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104352 -  ..
104353 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104354 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104355 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104356 - very mild peripheral neuropathy in right foot on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104357 - about mile 4.25 until about mile 4.5 on Ygnacio Valley Road, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104358 - taking statins last night, per above. ref SDS 0 WR5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104360 -  ..
104361 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104362 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104364 -  ..
104365 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104366 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104368 -  ..
104369 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104370 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104371 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104372 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104374 -  ..
104375 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104376 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104377 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104378 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104379 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104381 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104382 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104383 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104384 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104385 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104386 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104387 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104388 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104389 -        again today.................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104391 -  ..
104392 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104393 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104394 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104396 -  ..
104397 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104398 - from thinning miniscus.  Pain level 0 entire hike 9 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104400 -  ..
104401 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104402 - from thinning miniscus.  Pain level 1 short distance on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104403 - Road going uphill - unusual, since going uphill normally relieves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104404 - knee pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104406 -  ..
104407 - Hip left, pain level 1 about mile 3.25 and subsided at mile 4.25 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104408 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104410 -  ..
104411 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104412 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104413 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104414 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104415 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104417 -  ..
104418 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104419 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  First went to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104420 - Lafayette Reservoir with Kathy.  Hiked slowly about 1 mile, and she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104421 - rested on a bench.  Hiked rest of lap at fast pace.  Handled hills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104422 - well.  About mile 1.25 raced another hiker and passed him on Killer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104423 - Ridge about mile 1.6.  On reaching top of Killer Ridge saw Claire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104424 - coming the other way, so stopped and said hello for a few minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104425 - The other hiker passed me.  Caught him again about mile 2.25 going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104426 - the last big hill.  Hiked to end of dam, and then back again for total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104427 - of 4 miles.  Returned home and hiked regular route.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104428 - good after 4 mile warm up at Lafayette Reservoir.  Calfs pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104429 - 0.  Left foot tailor's bunion pain level 0 entire hike.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104430 - miles 18 minutes.  Maintained pace on Clayton hiking concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104431 - sidewalk.  Metatarsalgia pain level 0 entire hike.  No burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104432 - sensation right foot entire hike.  Calluses big toes both feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104433 - level 0 entire hike, because of maintenance on 180804, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104434 - ref SDS 0 SVPV  Right foot plantar plate injury pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104435 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104436 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104437 - South Side to hike against Eastbound traffic flow.  Time mile 4.25 64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104438 - minutes.  Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104439 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104440 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104441 - ground.  Going down steep hill toward Rolling Woods Way noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104442 - another hiker about 400 yards ahead.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104443 - distance.  Right knee pain level 0.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104444 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104445 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104446 - calluses both feet, indicating effective protection wearing Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104447 - socks received on 180530 0726. ref SDS 92 9O6X  Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104448 - Woods Way.  The other hiker was now about 200 yards ahead.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104449 - steep hill felt strong - increased pace for .3 miles.  Caught the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104450 - other hiker before half way to summit.  Going downhill slowed pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104451 - Pain level 0 left knee and pain level 0 right knee.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104452 - onto Pine Hollow.  Felt weak for about .5 miles.  Stopped at Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104453 - gas station at Pine Hollow and Ygnacio Valley Road; drank few sips of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104454 - Coke and Mountain Dew.  Resumed hike on Ygnacio Valley Road about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104455 - mile back to Crystal Ranch Road.  Strength seemed to increase,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104456 - possibly from liquid at Texaco.  Increased pace going uphill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104457 - continued past Cowell to summit of Ygnacio Valley Road.  Light jogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104458 - gong downhill 2 miles to Oak Grove.  Called Kathy to meet at corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104459 - Treat.  Maintained fast pace on Oak Grove 1 mile.  Kathy drove us home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104460 - from corner of Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104462 -  ..
104463 - Breakfast - cheerios chia seeds milk with Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104464 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104465 - Dinner - lettuce cumcumbar tomato bacon mushrooms onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104467 -  ..
104468 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104472 -         ..
104473 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104474 -  219.  180806 0700..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104475 -               0800....BP HR with Diff........................................... 135  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104476 -               0805....BP HR with Diff........................................... 138  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104477 -               0810....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104478 -               0810... 20 15740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104479 -               0810....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104480 -               0810... 80 85980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104481 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104482 -               0000... Naproxen (Aleve) 1 pill 220  60640                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104483 -               0810....1000 111000 acetaminophen liquic - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104484 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104485 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104486 -          * cr 0900....miles...........  10.0  10.00  154  154 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104487 -               1350....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104488 -               1355....BP HR with Diff........................................... 105  78 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104489 -               1355....BP HR with Diff........................................... 101  73 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104490 -               1630... 40 35120 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104491 -               1920............ 10 10540  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104492 -               1920............ 10 10130  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104493 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104494 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104495 -               1950... 40 15160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104496 -               2020... 1000  216000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104497 -               2110... 80 86060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104499 -  ..
104500 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104502 -  ..
104503 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104504 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104505 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104506 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104508 -  ..
104509 - Blood pressure poor and heart rate good today, after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104510 - gastrointestinal drugs last night, and after hiking 17 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104511 - yesterday. per above. ref SDS 0 6F6F  BP okay after hiking 10 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104512 - today with temperature 88.  Took Mylanta last night to improve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104513 - digestion, but increases blood pressure today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104515 -  ..
104516 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104517 - morning, and after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104518 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104519 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104520 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104521 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104523 -  ..
104524 - Weight - 181 this morning after hiking 17 miles yesterday.  Aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104525 - with amount of food and liquid consumed after the hike weighting 176.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104526 - Weight 176 losing 5 pounds over 10 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104528 -  ..
104529 - Pain medication - Acetaminophen 1000 mg liquid (non-NSAID) 2nd day in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104530 - a row.  Reduces risk of Naproxex 1 pill 220 mg getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104531 - LESV and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104532 - conflicts with PRP line of care) got stuck 2 days ago, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104533 - yesterday on 180703, per above. ref SDS 0 SQTY  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104534 - cheerios with chia seeds, strawberries and milk.  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104535 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104536 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104537 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104538 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104539 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104540 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104541 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104542 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104543 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104544 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104546 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104547 -                                                    Pain Level   Day
104548 -         ..
104549 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104550 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104551 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104552 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104553 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104554 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104555 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104556 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104557 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104558 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104559 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104560 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104561 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104562 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104563 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104564 -        Peripheral neruopathy right foot.............   0          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104566 -  ..
104567 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104568 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104569 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104570 - very mild peripheral neuropathy in right foot about .5 miles on trail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104571 - around Lafayette Reservoir, for about mile 0.5, and after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104572 - statins last night, per above. ref SDS 0 6F6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104574 -  ..
104575 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104576 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104578 -  ..
104579 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104580 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104582 -  ..
104583 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104584 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104585 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104586 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104588 -  ..
104589 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104590 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104591 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104592 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104593 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104595 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104596 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104597 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104598 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104599 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104600 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104601 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104602 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104603 -        again today.................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104605 -  ..
104606 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104607 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104608 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104610 -  ..
104611 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104612 - from thinning miniscus.  Pain level 0 entire hike 9 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104614 -  ..
104615 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104616 - from thinning miniscus.  Pain level 1 short distance on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104617 - Road going uphill - unusual, since going uphill normally relieves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104618 - knee pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104620 -  ..
104621 - Hip left, pain level 1 about mile 3.25 and subsided at mile 4.25 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104622 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104624 -  ..
104625 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104626 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104627 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104628 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104629 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104631 -  ..
104632 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104633 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  First went to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104634 - Lafayette Reservoir with Kathy.  Hiked slowly about 1.25 miles, until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104635 - Kathy rested on a bench.  About mile .25 had very mild peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104636 - neuropathy in right foot for about 200 yards.  After mile 1.25, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104637 - rest of lap at fast pace.  Ran some of the hills, but not Killer Ridge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104638 - nor the last long hill at mile 2.25.  At end of lap, hiked to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104639 - dam, and then back again for total of 4 miles.  Returned home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104640 - hiked regular route.  Starting okay after 4 mile warm up at Lafayette                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104641 - Reservoir.  Calfs pain level 0.  Left foot tailor's bunion pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104642 - 0 entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104643 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104644 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104645 - both feet pain level 0 entire hike, because of maintenance on 180804,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104646 - per above. ref SDS 0 SVPV  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104647 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104648 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104649 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104650 - mile 4.25 64 minutes.  Continuing on Ygnacio Valley Road 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104651 - mile 4.75 pain level 0, so turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104652 - Crystal Ranch Road.  Good pace going 1 mile uphill.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104653 - Kathy picked me up in the car.  We drove to Mudville for lunch,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104654 - because she has to return to Sacramento early this afternoon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104656 -  ..
104657 - Breakfast - cheerios chia seeds milk with Acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104658 - Lunch - half hamburger fries, ate only few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104659 - Dinner - lettuce cumcumbar tomato bacon mushrooms onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104660 - hamburger from lunch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104662 -  ..
104663 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104667 -         ..
104668 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104669 -  220.  180807 0600..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104670 -               0610....BP HR with Diff........................................... 129  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104671 -               0615....BP HR with Diff........................................... 133  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104672 -               0620....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104673 -               0810... 20 15760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104674 -               0810... 80 86140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104675 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104676 -               0000... Naproxen (Aleve) 1 pill 220  60640                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104677 -               0000....1000 111000 acetaminophen liquic - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104678 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104679 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104680 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104681 -          * cr 1200....miles...........  11.0  21.00  182  336 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104682 -               1530....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104683 -               1535....BP HR with Diff...........................................  95  68 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104684 -               1540....BP HR with Diff...........................................  94  65 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104685 -               1635... 40 35160 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104686 -             1 0000............ 10 10540  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104687 -             1 0000............ 10 10130  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104688 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104689 -               1920... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104690 -               1950... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104691 -               2050... 1000  217000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104692 -               2205... 80 86220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104694 -  ..
104695 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104697 -  ..
104698 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104699 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104700 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104701 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104703 -  ..
104704 - Blood pressure poor and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104705 - gastrointestinal drugs last night, and after hiking 10 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104706 - yesterday. per above. ref SDS 0 Z53J  BP okay after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104707 - today with temperature 88.  Took Mylanta last night to improve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104708 - digestion, but increases blood pressure today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104710 -  ..
104711 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104712 - morning, and after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104713 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104714 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104715 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104716 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104718 -  ..
104719 - Weight - 182 this morning after hiking 10 miles yesterday.  Aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104720 - with amount of food and liquid consumed after the hike weighting 176.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104721 - Weight 176 losing 6 pounds over 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104723 -  ..
104724 - Pain medication - trying none today.  Reduces risk acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104725 - intoxication lowering HDL.  Reduces risk of Naproxex 1 pill 220 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104726 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104727 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104728 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104729 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104730 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104731 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104732 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104733 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104734 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104735 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104736 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104737 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104738 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104740 -  ..
104741 - Entire body ached for about 4 miles, then calmed down and had normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104742 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104744 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104745 -                                                    Pain Level   Day
104746 -         ..
104747 -        Hip left.....................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104748 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104749 -        Knee left....................................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104750 -        Knee right...................................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104751 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104752 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104753 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104754 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104755 -        Plantar plate right foot.....................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104756 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104757 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104758 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104759 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104760 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104761 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104762 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104764 -  ..
104765 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104766 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104767 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104768 - mild peripheral neuropathy in right foot about 1 mile, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104769 - taking statins last night on 180806, per above. ref SDS 0 Z53J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104771 -  ..
104772 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104773 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104775 -  ..
104776 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104777 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104779 -  ..
104780 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104781 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104782 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104783 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104785 -  ..
104786 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104787 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104788 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104789 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104790 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104792 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104793 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104794 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104795 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104796 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104797 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104798 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104799 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104800 -        again today.................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104802 -  ..
104803 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104804 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104805 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104807 -  ..
104808 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104809 - from thinning miniscus.  Pain level 0 entire hike 9 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104811 -  ..
104812 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104813 - from thinning miniscus.  Pain level 1 short distance on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104814 - Road going uphill - unusual, since going uphill normally relieves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104815 - knee pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104817 -  ..
104818 - Hip left, pain level 1 about mile 3.25 and subsided at mile 4.25 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104819 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104821 -  ..
104822 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104823 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104824 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104825 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104826 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104828 -  ..
104829 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104830 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104831 - difficult, entire body hurt without pain medication, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104832 - ref SDS 0 SYUU  Calfs pain level 0.  Left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104833 - level 0 entire hike.  Time to 1.25 miles 19 minutes.  Maintained slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104834 - pace on Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104835 - entire hike.  No burning sensation right foot entire hike.  Calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104836 - big toes both feet pain level 0 entire hike, because of maintenance on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104837 - 180721, per above. ref SDS 0 PXSP  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104838 - sharp pain level 5 but only about 10 yards.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104839 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104840 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104841 - hike against Eastbound traffic flow.  Mild headwind today.  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104842 - feeling well, consider doing only 7 miles.  Time mile 4.25 72 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104843 - Continuing on Ygnacio Valley Road 1 mile - left knee pain level 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104844 - about 100 yards.  At mile 4.75 pain level 0, and feeling better, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104845 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104846 - going 1 mile uphill breathing through nose most of the way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104847 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104848 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104849 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104850 - knee pain level 2, but only about 200 yards.  Indicates PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104851 - on 170726, 180105, and most recently on 180620, 180620, ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104852 - 0001, effective preventing osteoarthritis.  No blisters and pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104853 - 0 calluses both feet, indicating effective protection wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104854 - Smartwool socks received on 180530 0726, ref SDS 92 9O6X, Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104855 - Rolling Woods Way.  Going up steep hill okay - maintained pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104856 - miles - pain level 0.  Going downhill slowed pace.  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104857 - knee and pain level 0 right knee.  Turned corner onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104858 - Felt weak for about .5 miles; completed 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104859 - Turned corner and hiked back to Crystal Ranch Road.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104860 - uphill to Cowell.  Did not feel well, so turned corner and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104861 - mile to Treat.  Turned corner and hiked back home for 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104863 -  ..
104864 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104865 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104866 - Dinner - lettuce cumcumbar tomato bacon mushrooms onion avocado,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104867 - chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104869 -  ..
104870 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104874 -         ..
104875 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104876 -  221.  180808 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104877 -               0940....BP HR with Diff........................................... 134  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104878 -               0945....BP HR with Diff........................................... 130  70  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104879 -               0950....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104880 -               0950... 20 15780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104881 -               0950... 80 86300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104882 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104883 -               0000... Naproxen (Aleve) 1 pill 220  60640                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104884 -               0950....1000 112000 acetaminophen liquic - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104885 -               0950....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104886 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104887 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104888 -          * cr 1200....miles...........  11.0  32.00  173  509 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104889 -               1455....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104890 -               1500....BP HR with Diff........................................... 103  69 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104891 -               1505....BP HR with Diff........................................... 103  70  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104892 -               1620... 40 35200 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104893 -               1820............ 10 10550  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104894 -               1820............ 10 10140  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104895 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104896 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104897 -               0000... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104898 -               1950... 1000  218000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104899 -               2140... 80 86380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104901 -  ..
104902 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104904 -  ..
104905 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104906 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104907 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104908 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104910 -  ..
104911 - Blood pressure poor and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104912 - carbonate (Tums) gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104913 - 11 miles yesterday. per above. ref SDS 0 6E6O  BP okay after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104914 - miles today with temperature 88.  Did not take Mylanta last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104915 - improve digestion, because combined with calcium carbonate these drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104916 - increase blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104918 -  ..
104919 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104920 - morning, and after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104921 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104922 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104923 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104924 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104926 -  ..
104927 - Weight - 182 this morning after hiking 10 miles yesterday.  Aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104928 - with amount of food and liquid consumed after the hike weighting 176.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104929 - Weight 176 losing 6 pounds over 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104931 -  ..
104932 - Pain medication - acetaminophen - trying none yesterday.  Was easier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104933 - to complete 11 mile hike today, that yesterday without pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104934 - medication.  Skipping acetaminophen yesterday reduced risk of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104935 - acetaminophen intoxication lowering HDL reduced risk of Naproxex 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104936 - pill 220 mg getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104937 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104938 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104939 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104940 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104941 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104942 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104943 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104944 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104945 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104946 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104947 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104948 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104950 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104951 -                                                    Pain Level   Day
104952 -         ..
104953 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104954 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104955 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104956 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104957 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104958 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104959 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104960 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104961 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104962 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104963 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104964 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104965 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104966 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104967 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104968 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104970 -  ..
104971 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104972 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104973 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104974 - there was no noticable peripheral neuropathy in right after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104975 - statins last night on 180807, per above. ref SDS 0 6E6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104977 -  ..
104978 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104979 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104981 -  ..
104982 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104983 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104985 -  ..
104986 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104987 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104988 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104989 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104991 -  ..
104992 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104993 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104994 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104995 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104996 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104998 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104999 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105000 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105001 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105002 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105003 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105004 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105005 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105006 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105007 -        again today.................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105009 -  ..
105010 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105011 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105012 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105014 -  ..
105015 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105016 - from thinning miniscus.  Pain level 0 entire hike 9 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105018 -  ..
105019 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105020 - from thinning miniscus.  Pain level 1 short distance on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105021 - Road going uphill - unusual, since going uphill normally relieves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105022 - knee pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105024 -  ..
105025 - Hip left, pain level 1 about mile 3.25 and subsided at mile 4.25 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105026 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105028 -  ..
105029 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105030 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105031 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105032 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105033 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105035 -  ..
105036 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105037 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105038 - good.  Calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105039 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105040 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105041 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105042 - both feet pain level 0 entire hike, because of maintenance on 180721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105043 - per above. ref SDS 0 PXSP  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105044 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105045 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105046 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105047 - headwind today.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105048 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105049 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105050 - uphill breathing through nose entire length indicates increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105051 - pulmonary function.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105052 - down steep hill toward Rolling Woods Way slower pace to protect knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105053 - Left knee pain level 0 entire distance.  Right knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105054 - Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105055 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105056 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105057 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105058 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105059 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105060 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105061 - knee.  Turned corner onto Pine Hollow and hiked 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105062 - Valley Road.  Stopped at Texaco gas station; drank some softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105063 - Continued hike on Ygnacio Valley Road.  Before reaching Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105064 - Road, felt surge of energy evidently from softdrink.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105065 - uphill to Cowell.  Turned corner and hiked 1 mile to Treat.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105066 - corner and hiked back home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105068 -  ..
105069 - Breakfast - cheerios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105070 - Lunch - ensure milkshake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105071 - Dinner - sandwich balogna cheese onion tomato, half sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105072 - margarine peanut butter jam, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105074 -  ..
105075 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105079 -         ..
105080 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105081 -  222.  180809 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105082 -               0830....BP HR with Diff........................................... 122  72  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105083 -               0835....BP HR with Diff........................................... 120  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105084 -               0840....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105085 -               0840... 20 15800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105086 -               0840... 80 86460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105087 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105088 -               0840... Naproxen (Aleve) 1 pill 250  62110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105089 -               0000....1000 112000 acetaminophen liquic - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105090 -               0840....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105091 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105092 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105093 -               1720... 40 35240 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105094 -             1 0000............ 10 10550  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105095 -             1 0000............ 10 10140  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105096 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105097 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105098 -               0000... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105099 -               2040... 1000  219000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105100 -               2220... 80 86540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105102 -  ..
105103 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105105 -  ..
105106 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105107 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105108 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105109 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105111 -  ..
105112 - Blood pressure good and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105113 - carbonate (Tums) gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105114 - 11 miles yesterday. per above. ref SDS 0 XX3H  Did not take Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105115 - last night to improve digestion, because combined with calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105116 - carbonate these drugs increase blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105118 -  ..
105119 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105120 - morning, and after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105121 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105122 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105123 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105124 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105126 -  ..
105127 - Weight - 182 this morning after hiking 10 miles yesterday.  Aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105128 - with amount of food and liquid consumed after the hike weighting 176.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105129 - Weight 176 losing 6 pounds over 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105131 -  ..
105132 - Pain medication - naproxen - but wound up not hiking.  Skipping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105133 - acetaminophen today reduced risk of intoxication lowering HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105134 - Naproxex 1 pill 250 mg seems smaller and so reduces risk of pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105135 - getting stuck above LESV causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105136 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105137 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105138 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105139 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105140 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105141 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105142 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105143 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105144 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105145 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105146 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105147 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105149 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105150 -                                                    Pain Level   Day
105151 -         ..
105152 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105153 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105154 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105155 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105156 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105157 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105158 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105159 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105160 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105161 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105162 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105163 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105164 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105165 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105166 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105167 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105169 -  ..
105170 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105171 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105172 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105173 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105174 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105176 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105177 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105178 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105179 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105180 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105181 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105182 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105183 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105184 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105185 -        again today.................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105187 -  ..
105188 - Hiking - none due to heavy work load.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105190 -  ..
105191 - Breakfast - cheerios chia seeds milk with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105192 - Lunch - sandwich balogna cheese onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105193 - Dinner - pasta lettuce onion celery hamburger avocado tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105195 -  ..
105196 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105200 -         ..
105201 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105202 -  223.  180810 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105203 -               0950....BP HR with Diff........................................... 139  74  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105204 -               0955....BP HR with Diff........................................... 126  68  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105205 -               1000....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105206 -               1000... 20 15820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105207 -               1000... 80 86620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105208 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105209 -               0000... Naproxen (Aleve) 1 pill 250  62110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105210 -               1000....1000 113000 acetaminophen liquic - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105211 -               1000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105212 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105213 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105214 -               1000....pushups...... 20 40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105215 -          * cr 1100....miles...........  11.0  43.00  172  681 minutes temp  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105216 -               1440....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105217 -               1450....BP HR with Diff........................................... 102  61  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105218 -               1455....BP HR with Diff........................................... 108  60  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105219 -               1645... 40 35280 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105220 -               1850............ 10 10560  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105221 -               1850............ 10 10150  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105222 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105223 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105224 -               0000... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105225 -               2010... 1000  220000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105226 -               2150... 80 86700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105228 -  ..
105229 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105231 -  ..
105232 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105233 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105234 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105235 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105237 -  ..
105238 - Blood pressure good and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105239 - carbonate (Tums) gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105240 - 0 miles yesterday. per above. ref SDS 0 EQ4H  BP okay after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105241 - miles today with temperature 95.  Did not take Mylanta last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105242 - improve digestion, because combined with calcium carbonate these drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105243 - increase blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105245 -  ..
105246 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105247 - morning, and after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105248 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105249 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105250 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105251 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105253 -  ..
105254 - Weight - 185 this morning after hiking 0 miles yesterday.  Aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105255 - amount of food and liquid consumed and not hiking yesterday.  Weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105256 - 179 losing 6 pounds after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105258 -  ..
105259 - Pain medication - acetaminophen after taking naproxen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105260 - reduced risk of acetaminophen intoxication that lowere HDL.  Naproxex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105261 - 1 pill 250 mg seems smaller and so reduces risk getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105262 - LESV and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105263 - conflicts with PRP line of care) got stuck on 180702, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105264 - 180703, per above. ref SDS 0 SQTY  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105265 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105266 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105267 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105268 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105269 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105270 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105271 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105272 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105273 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105274 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105276 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105277 -                                                    Pain Level   Day
105278 -         ..
105279 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105280 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105281 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105282 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105283 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105284 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105285 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105286 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105287 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105288 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105289 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105290 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105291 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105292 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105293 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105294 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105296 -  ..
105297 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105298 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105299 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105300 - there was no noticable peripheral neuropathy in right after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105301 - statins last night on 180809, per above. ref SDS 0 EQ4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105303 -  ..
105304 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105305 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105307 -  ..
105308 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105309 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105311 -  ..
105312 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105313 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105314 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105315 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105317 -  ..
105318 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105319 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105320 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105321 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105322 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105324 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105325 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105326 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105327 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105328 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105329 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105330 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105331 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105332 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105333 -        again today.................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105335 -  ..
105336 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105337 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105338 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105340 -  ..
105341 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105342 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105344 -  ..
105345 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105346 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105348 -  ..
105349 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105351 -  ..
105352 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105353 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105354 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105355 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105356 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105358 -  ..
105359 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105360 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105361 - good.  Calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105362 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105363 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105364 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105365 - both feet pain level 0 entire hike, because of maintenance on 180721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105366 - per above. ref SDS 0 PXSP  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105367 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105368 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105369 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105370 - headwind today.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105371 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105372 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105373 - uphill breathing through nose entire length indicates increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105374 - pulmonary function.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105375 - down steep hill toward Rolling Woods Way slower pace to protect knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105376 - Left knee pain level 0 entire distance.  Right knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105377 - Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105378 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105379 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105380 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105381 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105382 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105383 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105384 - knee.  Turned corner onto Pine Hollow and hiked 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105385 - Valley Road.  Stopped at Texaco gas station; drank some softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105386 - Continued hike on Ygnacio Valley Road.  Before reaching Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105387 - Road, felt surge of energy evidently from softdrink.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105388 - uphill to Cowell.  Turned corner and hiked 1 mile to Treat.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105389 - corner and hiked back home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105391 -  ..
105392 - Breakfast - cheerios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105393 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105394 - Dinner - lettuce onion tuna asparagus avocado tomato mushrooms, hot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105395 - dog cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105397 -  ..
105398 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105402 -         ..
105403 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105404 -  224.  180811 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105405 -               0840....BP HR with Diff........................................... 147  75  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105406 -               0845....BP HR with Diff........................................... 129  69  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105407 -               0850....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105408 -               0850... 20 15840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105409 -               0850... 80 86780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105410 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105411 -               0850... Naproxen (Aleve) 1 pill 250  62360                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105412 -               0000....1000 113000 acetaminophen liquic - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105413 -               0850....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105414 -               0000....200   10000 Ibuprofine - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105415 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105416 -               0930....pushups...... 20 60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105417 -          * cr 1100....miles...........  13.0  47.00  209  681 minutes temp  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105418 -               1500....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105419 -               1505....BP HR with Diff........................................... 101  72 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105420 -               1510....BP HR with Diff........................................... 102  70 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105421 -               1645... 40 35320 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105422 -             1 0000............ 10 10560  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105423 -             1 0000............ 10 10150  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105424 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105425 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105426 -               2020... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105427 -               2050... 1000  221000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105428 -               2150... 80 86860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105430 -  ..
105431 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105433 -  ..
105434 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105435 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105436 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105437 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105439 -  ..
105440 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105441 - carbonate (Tums) gastrointestinal drugs last night, and after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105442 - 11 miles yesterday. per above. ref SDS 0 PY4K  BP okay after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105443 - miles today with temperature 95.  Did not take Mylanta last night to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105444 - improve digestion, because combined with calcium carbonate these drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105445 - increase blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105447 -  ..
105448 - BPPV - dizziness - noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105449 - morning, and for several hours later into the morning.  No spinning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105450 - room sensation, but stronger disorientation than prior recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105451 - episodes.  This occurred today, after treatment by Doctor Wiseman on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105452 - 180725 0800. ref SDS A2 VL73  This followed letter to Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105453 - requesting meeting for further treatment, sent on 180707. ref SDS 97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105454 - U13F  After several letters, scheduled another BPPV examination on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105455 - 180725 0800, reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105457 -  ..
105458 - Weight - 185 this morning after hiking 0 miles yesterday.  Aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105459 - amount of food and liquid consumed.  Weight 178 losing 7 pounds after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105460 - hiking 13 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105462 -  ..
105463 - Pain medication - Naproxen after taking acetaminophen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105464 - reduces risk of acetaminophen intoxication that lowers HDL.  Naproxex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105465 - 1 pill 250 mg seems smaller and so reduces risk getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105466 - LESV and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105467 - conflicts with PRP line of care) got stuck on 180702, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105468 - 180703, per above. ref SDS 0 SQTY  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105469 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105470 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105471 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105472 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105473 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105474 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105475 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105476 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105477 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105478 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105480 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105481 -                                                    Pain Level   Day
105482 -         ..
105483 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105484 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105485 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105486 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105487 -        Calf left....................................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105488 -        Calf right...................................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105489 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105490 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105491 -        Plantar plate right foot.....................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105492 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105493 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105494 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105495 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105496 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105497 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105498 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105500 -  ..
105501 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105502 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105503 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105504 - there was no noticable peripheral neuropathy in right after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105505 - statins last night on 180809, per above. ref SDS 0 EQ4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105507 -  ..
105508 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105509 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105511 -  ..
105512 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105513 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105515 -  ..
105516 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105517 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105518 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105519 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105521 -  ..
105522 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105523 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105524 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105525 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105526 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105528 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105529 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105530 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105531 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105532 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105533 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105534 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105535 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105536 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105537 -        again today.................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105539 -  ..
105540 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105541 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105542 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105544 -  ..
105545 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105546 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105548 -  ..
105549 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105550 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105552 -  ..
105553 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105555 -  ..
105556 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105557 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105558 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105559 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105560 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105562 -  ..
105563 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105564 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105565 - good.  Calfs pain level 1.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105566 - entire hike.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105567 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105568 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105569 - both feet pain level 0 entire hike, because of maintenance on 180721,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105570 - per above. ref SDS 0 PXSP  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105571 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105572 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105573 - from North to South Side to hike against Eastbound traffic flow.  Mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105574 - headwind today.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105575 - Valley Road 1 mile.  At mile 4.75 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105576 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105577 - uphill breathing through nose entire length indicates increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105578 - pulmonary function.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105579 - down steep hill toward Rolling Woods Way slower pace to protect knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105580 - Left knee pain level 0 entire distance.  Right knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105581 - Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105582 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105583 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105584 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105585 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105586 - felt strong - increased pace for .3 miles - pain level 0.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105587 - downhill slowed pace.  Pain level 0 left knee and pain level 0 right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105588 - knee.  Turned corner onto Pine Hollow and hiked 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105589 - Valley Road.  Stopped at Texaco gas station; drank some softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105590 - Continued hike on Ygnacio Valley Road.  Before reaching Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105591 - Road, felt surge of energy evidently from softdrink.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105592 - uphill to Cowell.  Continued uphill to summit.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105593 - downhill to Oak Grove.  Called Kathy to meet at Oak Grove and Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105594 - Hiked 1 mile to Treat.  Road home with Kathy for 13 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105596 -  ..
105597 - Breakfast - cheerios chia seeds milk with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105598 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105599 - Dinner - lettuce onion tuna asparagus avocado tomato mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105601 -  ..
105602 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105606 -         ..
105607 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105608 -  225.  180812 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105609 -               0730....BP HR with Diff........................................... 138  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105610 -               0735....BP HR with Diff........................................... 123  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105611 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105612 -               0740... 20 15860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105613 -               0740... 80 86940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105614 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105615 -               0000... Naproxen (Aleve) 1 pill 250  62360                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105616 -               0740....1000 114000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105617 -               0740....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105618 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105619 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105620 -               0800....pushups...... 20 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105621 -          * cr 0930....miles...........  15.0  71.00  232 1122 minutes temp  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105622 -               1410....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105623 -               1415....BP HR with Diff...........................................  98  74 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105624 -               1420....BP HR with Diff...........................................  88  68 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105625 -               1430... 40 35360 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105626 -               1850............ 10 10570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105627 -               1850............ 10 10160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105628 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105629 -               1940... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105630 -               2010... 40 15240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105631 -               2030... 1000  222000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105632 -               2130... 80 87020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105634 -  ..
105635 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105637 -  ..
105638 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105639 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105640 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105641 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105643 -  ..
105644 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105645 - carbonate (Tums) and Mylanta gastrointestinal drugs last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105646 - after hiking 11 miles yesterday. per above. ref SDS 0 XO6J  BP very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105647 - good after hiking 15 miles today with temperature 94.  Took Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105648 - last night to improve digestion, despite combined with calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105649 - carbonate these drugs increase blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105651 -  ..
105652 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105653 - morning - big improvement from yesterday on 180811, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105654 - ref SDS 0 TVWY  This occurred today, after treatment by Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105655 - on 180725 0800. ref SDS A2 VL73  This followed letter to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105656 - Wiseman requesting meeting for further treatment, sent on 180707.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105657 - ref SDS 97 U13F  After several letters, scheduled another BPPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105658 - examination on 180725 0800, reported record on 180718 0809.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105659 - ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105661 -  ..
105662 - Weight - 185 this morning after hiking 0 miles yesterday.  Aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105663 - amount of food and liquid consumed.  Weight 177 losing 8 pounds after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105664 - hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105666 -  ..
105667 - Pain medication - Acetaminophen after taking Naproxen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105668 - reduces risk of acetaminophen intoxication that lowers HDL.  Naproxex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105669 - 1 pill 250 mg seems smaller and so reduces risk getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105670 - LESV and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105671 - conflicts with PRP line of care) got stuck on 180702, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105672 - 180703, per above. ref SDS 0 SQTY  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105673 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105674 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105675 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105676 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105677 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105678 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105679 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105680 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105681 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105682 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105684 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105685 -                                                    Pain Level   Day
105686 -         ..
105687 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105688 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105689 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105690 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105691 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105692 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105693 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105694 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105695 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105696 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105697 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105698 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105699 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105700 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105701 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105702 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105704 -  ..
105705 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105706 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105707 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105708 - there was no noticable peripheral neuropathy in right after omitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105709 - statins last night on 180811, per above. ref SDS 0 XO6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105711 -  ..
105712 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105713 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105715 -  ..
105716 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105717 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105719 -  ..
105720 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105721 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105722 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105723 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105725 -  ..
105726 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105727 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105728 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105729 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105730 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105732 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105733 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105734 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105735 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105736 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105737 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105738 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105739 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105740 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105741 -        again today.................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105743 -  ..
105744 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105745 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105746 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105748 -  ..
105749 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105750 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105752 -  ..
105753 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105754 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105756 -  ..
105757 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105759 -  ..
105760 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105761 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105762 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105763 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105764 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105766 -  ..
105767 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105768 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  First went to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105769 - Lafayette Reservoir with Kathy.  Hiked slowly about 1.25 miles, until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105770 - Kathy rested on a bench.  About mile .25 had very mild peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105771 - neuropathy in right foot for about 200 yards.  After mile 1.25, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105772 - rest of lap at fast pace.  About mile 1.5 heard footsteps approaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105773 - from behind, so increased pace to avoid being passed.  Steps ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105774 - before mile 2.5 going through park and playgournd area.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105775 - lap, hiked to end of dam, and then back again for total of 4 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105776 - Returned home and did regular hike.  Starting energy good.  Calfs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105777 - pain level 0 after warmup at Lafayette Reservoir.  Left foot tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105778 - bunion pain level 0 entire hike.  Time to 1.25 miles 17 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105779 - Maintained pace on Clayton hiking concrete sidewalk.  Metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105780 - pain level 0 entire hike.  No burning sensation right foot entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105781 - hike.  Calluses big toes both feet pain level 0 entire hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105782 - of maintenance on 180721, per above. ref SDS 0 PXSP  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105783 - plantar plate injury pain level 0.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105784 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105785 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105786 - against Eastbound traffic flow.  Mild headwind today.  Time mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105787 - 64 minutes.  Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105788 - pain level 0, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105789 - Road.  Good pace going 1 mile uphill breathing through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105790 - length indicates increasing pulmonary function.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105791 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105792 - slower pace to protect knees.  Left knee pain level 0 entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105793 - Right knee pain level 0.  Indicates PRP treatments on 170726, 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105794 - and most recently on 180620, 180620, ref SDS 94 0001, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105795 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105796 - feet, indicating effective protection wearing Smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105797 - on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105798 - up steep hill felt strong - increased pace for .3 miles - pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105799 - 0.  Going downhill slowed pace.  Pain level 0 left knee and pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105800 - 0 right knee.  Halfway to Pine Hollow called Kathy discussed meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105801 - at Mudville in Clayton.  At bottom of Rolling Woods Way turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105802 - onto Pine Hollow going South.  Hiked 2 miles to Mitchell Canyon Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105803 - Turned left and hiked .5 miles to Clayton Road.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105804 - hiked 1 mile to Marsh Creek Road.  Turned corner and hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105805 - to Mudville Grill, ending hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105807 -  ..
105808 - Breakfast - cheerios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105809 - Lunch - half hamburger tomato onion avocado fries, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105810 - Dinner - salmon onion avocado tomato celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105812 -  ..
105813 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105817 -         ..
105818 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105819 -  226.  180813 0525..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105820 -               0550....BP HR with Diff........................................... 140  78  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105821 -               0555....BP HR with Diff........................................... 127  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105822 -               0600....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105823 -               0600... 20 15880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105824 -               0600... 80 87100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105825 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105826 -               0600... Naproxen (Aleve) 1 pill 250  62600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105827 -               0000....1000 114000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105828 -               0600....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105829 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105830 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105831 -               0800....pushups...... 20 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105832 -          * cr 0700....miles...........  15.0  15.00  230  230 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105833 -               1210....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105834 -               1215....BP HR with Diff........................................... 111  66  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105835 -               1220....BP HR with Diff........................................... 106  64  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105836 -               1630... 40 35400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105837 -             1 0000............ 10 10570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105838 -             1 0000............ 10 10160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105839 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105840 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105841 -               0000... 40 15280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105842 -               2050... 1000  223000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105843 -               2120... 80 87180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105845 -  ..
105846 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105848 -  ..
105849 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105850 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105851 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105852 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105854 -  ..
105855 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105856 - carbonate (Tums) and Mylanta gastrointestinal drugs last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105857 - after hiking 11 miles yesterday. per above. ref SDS 0 XO6J  BP very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105858 - good after hiking 15 miles today with temperature 94.  Took Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105859 - last night to improve digestion, despite combined with calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105860 - carbonate these drugs increase blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105862 -  ..
105863 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105864 - morning - big improvement from yesterday on 180811, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105865 - ref SDS 0 TVWY  This occurred today, after treatment by Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105866 - on 180725 0800. ref SDS A2 VL73  This followed letter to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105867 - Wiseman requesting meeting for further treatment, sent on 180707.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105868 - ref SDS 97 U13F  After several letters, scheduled another BPPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105869 - examination on 180725 0800, reported record on 180718 0809.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105870 - ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105872 -  ..
105873 - Weight - 185 this morning after hiking 0 miles yesterday.  Aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105874 - amount of food and liquid consumed.  Weight 177 losing 8 pounds after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105875 - hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105877 -  ..
105878 - Pain medication - Acetaminophen after taking Naproxen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105879 - reduces risk of acetaminophen intoxication that lowers HDL.  Naproxex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105880 - 1 pill 250 mg seems smaller and so reduces risk getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105881 - LESV and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105882 - conflicts with PRP line of care) got stuck on 180702, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105883 - 180703, per above. ref SDS 0 SQTY  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105884 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105885 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105886 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105887 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105888 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105889 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105890 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105891 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105892 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105893 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105895 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105896 -                                                    Pain Level   Day
105897 -         ..
105898 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105899 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105900 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105901 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105902 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105903 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105904 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105905 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105906 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105907 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105908 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105909 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105910 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105911 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105912 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105913 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105915 -  ..
105916 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105917 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105918 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105919 - there was no noticable peripheral neuropathy in right after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105920 - statins last night on 180812, per above. ref SDS 0 KX6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105922 -  ..
105923 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105924 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105926 -  ..
105927 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105928 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105930 -  ..
105931 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105932 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105933 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105934 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105936 -  ..
105937 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105938 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105939 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105940 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105941 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105943 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105944 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105945 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105946 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105947 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105948 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105949 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105950 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105951 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105952 -        again today.................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105954 -  ..
105955 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105956 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105957 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105959 -  ..
105960 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105961 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105963 -  ..
105964 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105965 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105967 -  ..
105968 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105970 -  ..
105971 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105972 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105973 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105974 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105975 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105977 -  ..
105978 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105979 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105980 - good.  Calfs pain level 0 after warmup at Lafayette Reservoir.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105981 - foot tailor's bunion pain level 0 entire hike.  Time to 1.25 miles 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105982 - minutes.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105983 - Metatarsalgia pain level 0 entire hike.  No burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105984 - foot entire hike.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105985 - hike, because of maintenance on 180721, per above. ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105986 - Right foot plantar plate injury pain level 0.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105987 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105988 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105989 - hike against Eastbound traffic flow.  Time mile 4.25 66 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105990 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105991 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105992 - pace going 1 mile uphill breathing through nose entire length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105993 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105994 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105995 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105996 - knee pain level 0.  Indicates PRP treatments on 170726, 180105, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105997 - most recently on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105998 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105999 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106000 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106001 - steep hill felt strong - increased pace for .3 miles - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106002 - Going downhill slowed pace.  Pain level 0 left knee and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106003 - right knee.  Halfway to Pine Hollow called Kathy discussed meeting at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106004 - Mudville in Clayton.  At bottom of Rolling Woods Way turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106005 - onto Pine Hollow going North.  Hiked 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106006 - Hiking West back to Crystal Ranch Road called Kathy to meet me on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106007 - Ygnacio Valley just East of Cowell.  Continued to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106008 - and uphill toward Cowell.  Saw Kathy turn the corner from Cowell onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106009 - Ygnacio Valley Road and drive East toward me.  Signaled her to stop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106010 - Hiked on up the hill.  We then drove to Lafayette Reservoir.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106011 - with Kathy slowly about 1.25 miles, until Kathy rested on a bench.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106012 - About mile .25 had very mild peripheral neuropathy in right foot for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106013 - about 200 yards.  After mile 1, hiked rest of lap at fast pace.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106014 - mile 1.5 heard footsteps approaching from behind, so increased pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106015 - avoid being passed.  Steps continued, so ran up short hill at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106016 - 1.5.  Maintained increased pace up Killer Ridge, and past mile 1.75.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106017 - Woman ran past mile 2 going downhill.  She was running downhills and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106018 - flats.  I was running uphills.  Never caught up with her, but effort                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106019 - was good effort going through park and playgournd area.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106020 - lap, hiked to end of dam, and then back to South end and continue back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106021 - to mile 2.2, then back to start of hike in middle of the dam for 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106022 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106025 -  ..
106026 - Breakfast - cheerios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106027 - Lunch - half hamburger and some fries at Arby's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106028 - Dinner - rice squash avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106030 -  ..
106031 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106036 -         ..
106037 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106038 -  227.  180813 0525..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106039 -               0550....BP HR with Diff........................................... 140  78  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106040 -               0555....BP HR with Diff........................................... 127  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106041 -               0600....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106042 -               0600... 20 15880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106043 -               0600... 80 87100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106044 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106045 -               0600... Naproxen (Aleve) 1 pill 250  62600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106046 -               0000....1000 114000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106047 -               0600....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106048 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106049 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106050 -               0800....pushups...... 20 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106051 -          * cr 0700....miles...........  15.0  15.00  230  230 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106052 -               1210....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106053 -               1215....BP HR with Diff........................................... 111  66  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106054 -               1220....BP HR with Diff........................................... 106  64  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106055 -               1630... 40 35400 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106056 -             1 0000............ 10 10570  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106057 -             1 0000............ 10 10160  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106058 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106059 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106060 -               0000... 40 15280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106061 -               2050... 1000  223000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106062 -               0000... 80 87100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106064 -  ..
106065 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106067 -  ..
106068 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106069 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106070 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106071 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106073 -  ..
106074 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106075 - carbonate (Tums) and Mylanta gastrointestinal drugs last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106076 - after hiking 11 miles yesterday. per above. ref SDS 0 XO6J  BP very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106077 - good after hiking 15 miles today with temperature 94.  Took Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106078 - last night to improve digestion, despite combined with calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106079 - carbonate these drugs increase blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106081 -  ..
106082 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106083 - morning - big improvement from yesterday on 180811, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106084 - ref SDS 0 TVWY  This occurred today, after treatment by Doctor Wiseman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106085 - on 180725 0800. ref SDS A2 VL73  This followed letter to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106086 - Wiseman requesting meeting for further treatment, sent on 180707.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106087 - ref SDS 97 U13F  After several letters, scheduled another BPPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106088 - examination on 180725 0800, reported record on 180718 0809.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106089 - ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106091 -  ..
106092 - Weight - 185 this morning after hiking 15 miles yesterday.  Seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106093 - conflicting with amount of food and liquid consumed.  Weight 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106094 - losing 8 pounds after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106096 -  ..
106097 - Pain medication - Acetaminophen after taking Naproxen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106098 - reduces risk of acetaminophen intoxication that lowers HDL.  Naproxex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106099 - 1 pill 250 mg seems smaller and so reduces risk getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106100 - LESV and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106101 - conflicts with PRP line of care) got stuck on 180702, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106102 - 180703, per above. ref SDS 0 SQTY  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106103 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106104 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106105 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106106 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106107 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106108 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106109 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106110 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106111 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106112 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106114 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106115 -                                                    Pain Level   Day
106116 -         ..
106117 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106118 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106119 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106120 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106121 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106122 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106123 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106124 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106125 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106126 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106127 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106128 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106129 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106130 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106131 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106132 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106134 -  ..
106135 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106136 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106137 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106138 - there was no noticable peripheral neuropathy in right after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106139 - statins last night on 180812, per above. ref SDS 0 KX6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106141 -  ..
106142 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106143 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106145 -  ..
106146 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106147 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106149 -  ..
106150 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106151 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106152 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106153 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106155 -  ..
106156 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106157 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106158 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106159 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106160 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106162 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106163 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106164 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106165 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106166 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106167 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106168 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106169 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106170 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106171 -        again today.................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106173 -  ..
106174 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106175 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106176 - lotion applied last on 180628, per above. ref SDS 0 WVWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106178 -  ..
106179 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106180 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106182 -  ..
106183 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106184 - from thinning miniscus.  Pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106186 -  ..
106187 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106189 -  ..
106190 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106191 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106192 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106193 - smartwool socks, and Ammonium Lactate 12% lotion applied last on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106194 - 180628, per above. ref SDS 0 WVXR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106196 -  ..
106197 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106198 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106199 - good.  Calfs pain level 0 after warmup at Lafayette Reservoir.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106200 - foot tailor's bunion pain level 0 entire hike.  Time to 1.25 miles 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106201 - minutes.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106202 - Metatarsalgia pain level 0 entire hike.  No burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106203 - foot entire hike.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106204 - hike, because of maintenance on 180721, per above. ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106205 - Right foot plantar plate injury pain level 0.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106206 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106207 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106208 - hike against Eastbound traffic flow.  Time mile 4.25 66 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106209 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106210 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106211 - pace going 1 mile uphill breathing through nose entire length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106212 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106213 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106214 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106215 - knee pain level 0.  Indicates PRP treatments on 170726, 180105, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106216 - most recently on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106217 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106218 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106219 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106220 - steep hill felt strong - increased pace for .3 miles - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106221 - Going downhill slowed pace.  Pain level 0 left knee and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106222 - right knee.  Halfway to Pine Hollow called Kathy discussed meeting at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106223 - Mudville in Clayton.  At bottom of Rolling Woods Way turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106224 - onto Pine Hollow going North.  Hiked 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106225 - Hiking West back to Crystal Ranch Road called Kathy to meet me on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106226 - Ygnacio Valley just East of Cowell.  Continued to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106227 - and uphill toward Cowell.  Saw Kathy turn the corner from Cowell onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106228 - Ygnacio Valley Road and drive East toward me.  Signaled her to stop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106229 - Hiked on up the hill.  We then drove to Lafayette Reservoir.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106230 - with Kathy slowly about 1.25 miles, until Kathy rested on a bench.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106231 - About mile .25 had very mild peripheral neuropathy in right foot for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106232 - about 200 yards.  After mile 1, hiked rest of lap at fast pace.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106233 - mile 1.5 heard footsteps approaching from behind, so increased pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106234 - avoid being passed.  Steps continued, so ran up short hill at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106235 - 1.5.  Maintained increased pace up Killer Ridge, and past mile 1.75.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106236 - Woman ran past mile 2 going downhill.  She was running downhills and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106237 - flats.  I was running uphills.  Never caught up with her, but effort                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106238 - was good effort going through park and playgournd area.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106239 - lap, hiked to end of dam, and then back to South end and continue back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106240 - to mile 2.2, then back to start of hike in middle of the dam for 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106241 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106244 -  ..
106245 - Breakfast - cheerios chia seeds milk with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106246 - Lunch - half hamburger and some fries at Arby's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106247 - Dinner - rice squash avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106249 -  ..
106250 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106255 -         ..
106256 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106257 -  228.  180814 0500..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106258 -               0630....BP HR with Diff........................................... 150  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106259 -               0635....BP HR with Diff........................................... 138  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106260 -               0640....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106261 -               0000... 20 15880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106262 -               0000... 80 87100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106263 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106264 -               0000... Naproxen (Aleve) 1 pill 250  62600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106265 -               0000....1000 114000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106266 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106267 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106268 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106269 -               0650....pushups...... 40 120                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106270 -               1640... 40 35440 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106271 -               1845............ 10 10580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106272 -               1845............ 10 10170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106273 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106274 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106275 -               2020... 40 15160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106276 -               2110... 1000  224000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106277 -               2310... 80 87260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106279 -  ..
106280 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106282 -  ..
106283 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106284 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106285 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106286 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106288 -  ..
106289 - Blood pressure poor and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106290 - carbonate (Tums) but not Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106291 - and after hiking 15 miles yesterday. per above. ref SDS 0 RP9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106293 -  ..
106294 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106295 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106296 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106297 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106298 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106299 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106300 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106302 -  ..
106303 - Weight - 183 this morning after hiking 15 miles yesterday.  Aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106304 - with amount of food and liquid consumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106306 -  ..
106307 - Hiking - none, EGD dilation at VA Medical Center in Sacramento,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106308 - reported in another record today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106310 -  ..
106311 - Breakfast - NPO for EGD procedure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106312 - Lunch - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106313 - Dinner - pasta onion hamburger mushrooms salmon avocado asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106315 -  ..
106316 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106321 -         ..
106322 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106323 -  229.  180815 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106324 -               0930....BP HR with Diff........................................... 140  70  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106325 -               0935....BP HR with Diff........................................... 130  66  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106326 -               0940....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106327 -               0940... 20 15900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106328 -               0940... 80 87340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106329 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106330 -               0000... Naproxen (Aleve) 1 pill 250  62600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106331 -               0000....1000 114000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106332 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106333 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106334 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106335 -               0000....pushups...... 20 140                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106336 -               1700... 40 35480 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106337 -             1 0000............ 10 10580  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106338 -             1 0000............ 10 10170  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106339 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106340 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106341 -               2110... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106342 -               2110... 1000  225000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106343 -               2310... 80 87420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106345 -  ..
106346 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106348 -  ..
106349 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106350 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106351 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106352 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106354 -  ..
106355 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106356 - carbonate (Tums) and Mylanta gastrointestinal drugs last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106357 - after hiking 0 miles yesterday. per above. ref SDS 0 515M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106359 -  ..
106360 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106361 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106362 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106363 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106364 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106365 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106366 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106368 -  ..
106369 - Weight - 185 this morning after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106371 -  ..
106372 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106374 -  ..
106375 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106376 - Lunch - sandwich balogna cheese onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106377 - Dinner - hamburger cottage cheese mushrooms salmon avocado asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106379 -  ..
106380 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106384 -         ..
106385 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106386 -  230.  180816 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106387 -               0750....BP HR with Diff........................................... 158  79  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106388 -               0755....BP HR with Diff........................................... 149  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106389 -               0800....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106390 -               0800... 20 15920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106391 -               0800... 80 87500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106392 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106393 -               0000... Naproxen (Aleve) 1 pill 250  62600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106394 -               0000....1000 114000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106395 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106396 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106397 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106398 -               0000....pushups...... 20 160                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106399 -               1710... 40 35530 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106400 -               1940............ 10 10590  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106401 -               1940............ 10 10180  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106402 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106403 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106404 -               0000... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106405 -               2030... 1000  226000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106406 -               2210... 80 87580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106408 -  ..
106409 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106411 -  ..
106412 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106413 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106414 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106415 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106417 -  ..
106418 - Blood pressure poor and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106419 - calcium carbonate (Tums) and Mylanta gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106420 - night, and after hiking 0 miles yesterday. per above. ref SDS 0 515M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106421 - This evening did not take Mylanta.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106423 -  ..
106424 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106425 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106426 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106427 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106428 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106429 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106430 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106432 -  ..
106433 - Weight - 185 this morning after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106435 -  ..
106436 - Pain medication - none - reduces risk of acetaminophen intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106437 - that lowers HDL.  Naproxex 1 pill 250 mg seems smaller and so reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106438 - risk getting stuck above LESV and causing ulceration.  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106439 - Naproxen pill (NSAID which conflicts with PRP line of care) got stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106440 - on 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106441 - take 2 Naproxen or Hydrodocone pills, but this increases chances of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106442 - pills getting stuck above LESV causing ulceration.  So, have switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106443 - to just 1 pill per day.  If not adequate pain relief, can carry 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106444 - pill and take it after 2 hours about half way through hike at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106445 - or so.  This should eliminate acetaminophen and avoid ulceration of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106446 - LESV, Acetaminophen began on 170825, shown in case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106447 - 0700, ref SDS 37 7F6O - was paused today, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106448 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106449 - Did not take NSAID (ibuprofen) after PRP injection treatment on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106450 - 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106452 -  ..
106453 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106455 -  ..
106456 - Breakfast - toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106457 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106458 - Dinner - lettuce onion avocado tomato tuna cottage cheese mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106459 - celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106461 -  ..
106462 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106466 -         ..
106467 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106468 -  231.  180817 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106469 -               0830....BP HR with Diff........................................... 137  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106470 -               0835....BP HR with Diff........................................... 137  73  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106471 -               0840....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106472 -               0840... 20 15940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106473 -               0840... 80 87660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106474 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106475 -               0000... Naproxen (Aleve) 1 pill 250  62600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106476 -               0000....1000 114000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106477 -               0840....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106478 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106479 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106480 -               0850....pushups...... 20 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106481 -          * cr 1000....miles...........  11.0  26.00  174  404 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106482 -               1440....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106483 -               1445....BP HR with Diff........................................... 101  71 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106484 -               1450....BP HR with Diff...........................................  96  67  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106485 -               1700... 40 35580 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106486 -             1 0000............ 10 10590  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106487 -             1 0000............ 10 10180  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106488 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106489 -               2020... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106490 -               0000... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106491 -               2110... 1000  227000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106492 -               2210... 80 87740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106494 -  ..
106495 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106497 -  ..
106498 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106499 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106500 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106501 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106503 -  ..
106504 - Blood pressure better, but not good and heart rate very good today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106505 - after taking calcium carbonate (Tums) and pausing Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106506 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106507 - per above. ref SDS 0 515M  This evening will also reduce calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106508 - carbonate and avoid Mylanta.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106510 -  ..
106511 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106512 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106513 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106514 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106515 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106516 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106517 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106519 -  ..
106520 - Weight - 183 this morning after hiking 0 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106521 - less eating.  After hiking 11 miles lost 6 pounds to 177.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106523 -  ..
106524 - Pain medication - none - reduces risk of acetaminophen intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106525 - that lowers HDL.  Naproxex 1 pill 250 mg seems smaller and so reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106526 - risk getting stuck above LESV and causing ulceration.  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106527 - Naproxen pill (NSAID which conflicts with PRP line of care) got stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106528 - on 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106529 - take 2 Naproxen or Hydrodocone pills, but this increases chances of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106530 - pills getting stuck above LESV causing ulceration.  So, have switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106531 - to just 1 pill per day.  If not adequate pain relief, can carry 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106532 - pill and take it after 2 hours about half way through hike at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106533 - or so.  This should eliminate acetaminophen and avoid ulceration of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106534 - LESV, Acetaminophen began on 170825, shown in case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106535 - 0700, ref SDS 37 7F6O - was paused today, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106536 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106537 - Did not take NSAID (ibuprofen) after PRP injection treatment on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106538 - 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106540 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106541 -                                                    Pain Level   Day
106542 -         ..
106543 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106544 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106545 -        Knee left....................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106546 -        Knee right...................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106547 -        Hamstring right leg..........................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106548 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106549 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106550 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106551 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106552 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106553 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106554 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106555 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106556 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106557 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106558 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106559 -        Peripheral neruopathy right foot.............   0          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106561 -  ..
106562 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106563 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106564 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106565 - there was no noticable peripheral neuropathy in right after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106566 - statins last night on 180812, per above. ref SDS 0 KX6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106568 -  ..
106569 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106570 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106572 -  ..
106573 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106574 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106576 -  ..
106577 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106578 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106579 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106580 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106582 -  ..
106583 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106584 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106585 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106586 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106587 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106589 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106590 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106591 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106592 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106593 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106594 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106595 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106596 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106597 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106598 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106599 -        again today.................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106601 -  ..
106602 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106603 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106604 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106606 -  ..
106607 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106608 - from thinning miniscus.  Pain level 1 going downhill on Cowell near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106609 - end of hike about mile 9.5 for about .2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106611 -  ..
106612 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106613 - from thinning miniscus.  Pain level 1 going downhill on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106614 - Way about halfway through hike at mile 6 and for about .2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106616 -  ..
106617 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106619 -  ..
106620 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106621 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106622 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106623 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106625 -  ..
106626 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106627 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106628 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106629 - entire hike.  Sprinted about 100 yards to make the light at Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106630 - Treat.  Felt okay - no recurring injuries.  Time to 1.25 miles 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106631 - minutes.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106632 - Metatarsalgia pain level 0 entire hike.  No burning sensation right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106633 - foot entire hike.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106634 - hike, because of maintenance on 180721, per above. ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106635 - Right foot plantar plate injury pain level 0.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106636 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106637 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106638 - hike against Eastbound traffic flow.  Time mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106639 - Sprinted about 50 yards across Pine Hollow to barely make traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106640 - light.  Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106641 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106642 - Good pace going 1 mile uphill breathing through nose entire length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106643 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106644 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106645 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106646 - knee pain level 0 entire distance.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106647 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106648 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106649 - calluses both feet, indicating effective protection wearing Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106650 - socks received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106651 - Woods Way.  Going up steep hill felt strong - increased pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106652 - miles - pain level 0.  Going downhill slowed pace.  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106653 - knee and pain level 1 for about .2 miles.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106654 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106655 - to Crystal Ranch Road about 1 mile, then uphill 1 mile to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106656 - Turned corner onto Cowell and hiked downhill about .5 miles to flatter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106657 - ground.  Left knee pain level 1 going downhill about .5 miles.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106658 - rest of way home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106660 -  ..
106661 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106662 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106663 - Dinner - lettuce onion avocado tomato tuna cottage cheese mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106665 -  ..
106666 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106670 -         ..
106671 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106672 -  232.  180818 0700..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106673 -               0710....BP HR with Diff........................................... 137  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106674 -               0715....BP HR with Diff........................................... 129  72  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106675 -               0730....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106676 -               0730... 20 15960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106677 -               0730... 80 87820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106678 -               0000... 5    85 Hydrocodone and Acetaminophen (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106679 -               0000... Naproxen (Aleve) 1 pill 250  62600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106680 -               0730....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106681 -               0730....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106682 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106683 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106684 -               0740....pushups...... 20 200 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106685 -          * cr 0850....miles...........  16.0  42.00  248  652 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106686 -               1305....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106687 -               1315....BP HR with Diff...........................................  84  62 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106688 -               1320....BP HR with Diff...........................................  92  60  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106689 -               1710... 40 35620 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106690 -               1900............ 10 10600  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106691 -               1900............ 10 10190  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106692 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106693 -               2020... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106694 -               0000... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106695 -               2040... 1000  228000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106696 -               2230... 80 87900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106698 -  ..
106699 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106701 -  ..
106702 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106703 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106704 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106705 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106707 -  ..
106708 - Blood pressure better, okay, and heart rate very good today, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106709 - taking calcium carbonate (Tums) and pausing Mylanta gastrointestinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106710 - drugs last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106711 - ref SDS 0 4U4J  BP and heart rate very good after hiking 16 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106712 - temperature 91.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106714 -  ..
106715 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106716 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106717 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106718 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106719 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106720 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106721 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106723 -  ..
106724 - Weight - 183 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106725 - less eating.  After hiking 16 miles lost 8 pounds to 175.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106727 -  ..
106728 - Pain medication - acetaminophen 1000 mg after 5 day pause on 180813,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106729 - per above, ref SDS 0 RP9N, - reduces risk of acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106730 - intoxication that lowers HDL.  Naproxex 1 pill 250 mg seems smaller                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106731 - and so reduces risk getting stuck above LESV and causing ulceration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106732 - Seemed like Naproxen pill (NSAID which conflicts with PRP line of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106733 - care) got stuck on 180702, reported on 180703, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106734 - SQTY  Normally take 2 Naproxen or Hydrodocone pills, but this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106735 - increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106736 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106737 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106738 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106739 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106740 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106741 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106742 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106743 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106744 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106746 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106747 -                                                    Pain Level   Day
106748 -         ..
106749 -        Hip left.....................................   1          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106750 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106751 -        Knee left....................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106752 -        Knee right...................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106753 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106754 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106755 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106756 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106757 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106758 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106759 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106760 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106761 -        Callus big toe left foot.....................   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106762 -        Callus big toe right foot....................   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106763 -        Blister below big toe right foot.............   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106764 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106765 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106767 -  ..
106768 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106769 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106770 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106771 - there was no noticable peripheral neuropathy in right foot after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106772 - pausing statins last night on 180817, per above. ref SDS 0 4U4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106774 -  ..
106775 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106776 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106778 -  ..
106779 - Toe caps recommended by Mark Wachter at On-the-Run - used on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106780 - little toe and ring toe.  None today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106782 -  ..
106783 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106784 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106785 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106786 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106788 -  ..
106789 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106790 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106791 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106792 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106793 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106795 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106796 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106797 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106798 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106799 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106800 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106801 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106802 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106803 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106804 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106805 -        again today.................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106807 -  ..
106808 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106809 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106810 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106812 -  ..
106813 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106814 - from thinning miniscus.  Pain level 1 going downhill on Cowell near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106815 - end of hike about mile 9.5 for about .2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106817 -  ..
106818 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106819 - from thinning miniscus.  Pain level 1 going downhill on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106820 - Way about halfway through hike at mile 6 and for about .2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106822 -  ..
106823 - Hip left, pain level 1 for about 200 yards going uphill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106824 - Ranch Road on 2nd loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106826 -  ..
106827 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106828 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106829 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106830 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106832 -  ..
106833 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106834 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106835 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106836 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106837 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106838 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106839 - both feet pain level 0 entire hike, because of maintenance yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106840 - on 180817, per above. ref SDS 0 UYRW  Right foot plantar plate injury                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106841 - pain level 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106842 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106843 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106844 - flow.  Time mile 4.25 68 minutes.  Continuing on Ygnacio Valley Road 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106845 - mile.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106846 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106847 - breathing through nose entire length indicates increasing pulmonary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106848 - function.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106849 - hill toward Rolling Woods Way slower pace to protect knees.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106850 - pain level 0 entire distance.  Right knee pain level 1 about 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106851 - yards.  Indicates PRP treatments on 170726, 180105, and most recently                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106852 - on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106853 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106854 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106855 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106856 - steep hill felt strong - increased pace for .3 miles - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106857 - Going downhill slowed pace.  Pain level 1 left knee about 200 yards,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106858 - and right knee pain level 0.  Turned corner onto Pine Hollow and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106859 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106860 - Road about 1 mile.  Turned left and did another 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106861 - Ranch Road.  Good pace going 1 mile uphill breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106862 - most of the way.  About half way up left hip pain level 1 for 200                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106863 - yards.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106864 - hill toward Rolling Woods Way slower pace to protect knees.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106865 - pain level 0 entire distance.  Right knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106866 - distance.  Indicates PRP treatments on 170726, 180105, and most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106867 - recently on 180620, 180620, ref SDS 94 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106868 - osteoarthritis.  Blisters and calluses both feet pain level 2 about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106869 - 200 yards.  Turned onto Rolling Woods Way again.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106870 - maintained good pace for .3 miles.  Going downhill slowed pace.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106871 - knees pain level 0.  Turned left going North and hiked on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106872 - 1 mile to Ygnacio Valley Road.  Turned left going West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106873 - Valley Road and hiked 1 mile back to Crystal Ranch Road.  Then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106874 - uphill 1 mile to Cowell.  Turned corner onto Cowell and hiked downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106875 - about .5 miles to flatter ground.  Left knee pain level 1 going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106876 - downhill about .5 miles.  Blisters and calluses both feet pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106877 - about .5 miles.  Hiked rest of way home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106879 -  ..
106880 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106881 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106882 - Dinner - eggs bacon hash brown potatoes, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106884 -  ..
106885 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106889 -         ..
106890 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106891 -  233.  180819 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106892 -               0720....BP HR with Diff........................................... 145  79  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106893 -               0725....BP HR with Diff........................................... 137  75  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106894 -               0730....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106895 -               0730... 20 15980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106896 -               0730... 80 87980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106897 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106898 -               0730... Naproxen (Aleve) 1 pill 250  62850                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106899 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106900 -               0730....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106901 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106902 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106903 -               0740....pushups...... 20 220 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106904 -          * cr 0900....miles...........  18.0  60.00  278  930 minutes temp  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106905 -               1350....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106906 -               1400....BP HR with Diff........................................... 106  75 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106907 -               1405....BP HR with Diff........................................... 106  71  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106908 -               1700... 40 35660 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106909 -             1 0000............ 10 10600  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106910 -             1 0000............ 10 10190  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106911 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106912 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106913 -               0000... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106914 -               2050... 1000  229000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106915 -               2230... 80 88060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106917 -  ..
106918 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106920 -  ..
106921 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106922 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106923 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106924 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106926 -  ..
106927 - Blood pressure worse, poor, and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106928 - calcium carbonate (Tums) and pausing Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106929 - last night, and after hiking 16 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106930 - ref SDS 0 JE3H  BP and heart rate good after hiking 18 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106931 - temperature 83.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106933 -  ..
106934 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106935 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106936 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106937 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106938 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106939 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106940 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106942 -  ..
106943 - Weight - 182 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106944 - less eating.  After hiking 18 miles lost 6 pounds to 176.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106946 -  ..
106947 - Pain medication - naproxen 250 mg after acetaminophen yesterday, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106948 - above, ref SDS 0 JE3H, - reduces risk of acetaminophen intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106949 - that lowers HDL.  Naproxex 1 pill 250 mg seems smaller and so reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106950 - risk getting stuck above LESV and causing ulceration.  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106951 - Naproxen pill (NSAID which conflicts with PRP line of care) got stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106952 - on 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106953 - take 2 Naproxen or Hydrodocone pills, but this increases chances of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106954 - pills getting stuck above LESV causing ulceration.  So, have switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106955 - to just 1 pill per day.  If not adequate pain relief, can carry 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106956 - pill and take it after 2 hours about half way through hike at mile 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106957 - or so.  This should eliminate acetaminophen and avoid ulceration of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106958 - LESV, Acetaminophen began on 170825, shown in case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106959 - 0700, ref SDS 37 7F6O - was paused today, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106960 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106961 - Did not take NSAID (ibuprofen) after PRP injection treatment on 180620                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106962 - 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106964 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106965 -                                                    Pain Level   Day
106966 -         ..
106967 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106968 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106969 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106970 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106971 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106972 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106973 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106974 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106975 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106976 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106977 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106978 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106979 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106980 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106981 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106982 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106983 -        Peripheral neruopathy right foot.............   0          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106985 -  ..
106986 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106987 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106988 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106989 - slight peripheral neuropathy in right foot after statins last night on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106990 - 180818, per above. ref SDS 0 JE3H  This occurred later in the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106991 - about mile 4.3 compared to pior episodes occurring about mile 2.  As                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106992 - with prior occurrances, this only lasted about .25 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106994 -  ..
106995 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106996 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106998 -  ..
106999 - Toe caps recommended by Mark Wachter at On-the-Run - used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107000 - foot between little toe and ring toe, and between ring toe and middle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107001 - toe; however about mile 7 or 8, the cap loose in the sock and caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107002 - problems.  Had to stop and remove shoe and sock to remove toe cap.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107004 -  ..
107005 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107006 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107007 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107008 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107010 -  ..
107011 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107012 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107013 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107014 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107015 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107017 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107018 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107019 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107020 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107021 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107022 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107023 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107024 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107025 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107026 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107027 -        again today.................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107029 -  ..
107030 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107031 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107032 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107034 -  ..
107035 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107036 - from thinning miniscus.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107038 -  ..
107039 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107040 - from thinning miniscus.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107042 -  ..
107043 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107045 -  ..
107046 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107047 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107048 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107049 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107051 -  ..
107052 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107053 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107054 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107055 - entire hike.  Time to 1.25 miles 16 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107056 - Clayton hiking concrete sidewalk.  Metatarsalgia pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107057 - hike.  No burning sensation right foot entire hike.  Calluses big toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107058 - both feet pain level 0 entire hike, because of maintenance on 180817,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107059 - per above. ref SDS 0 UYRW  Right foot plantar plate injury pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107060 - 0.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107061 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107062 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107063 - mile 4.25 64 minutes.  Continuing on Ygnacio Valley Road 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107064 - About mile 4.4 felt peripheral neuropathy bottom right foot.  Only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107065 - last .25 miles.  At mile 4.75 pain level 0, so turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107066 - 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107067 - breathing through nose entire length indicates increasing pulmonary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107068 - function.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107069 - hill toward Rolling Woods Way faster pace today.  Left knee pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107070 - 0 entire distance.  Right knee pain level 0 entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107071 - Indicates PRP treatments on 170726, 180105, and most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107072 - 180620, 180620, ref SDS 94 0001, effective preventing osteoarthritis.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107073 - No blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107074 - protection wearing Smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107075 - ref SDS 92 9O6X  Toe cap came loose on left foot ring toe.  Considered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107076 - stopping to remove shoe along the street curb.  Toe cap seemed to work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107077 - it way into position that was not painful, so continued.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107078 - Rolling Woods Way.  Going up steep hill felt strong - increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107079 - for .3 miles breathing through nose entire distance.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107080 - slowed pace.  Pain level 0 left knee, and right knee pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107081 - Turned corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107082 - Road.  Stopped at Texaco gas station.  There was a place to sit down,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107083 - so removed left shoe and sock to remove toe cap that came loose on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107084 - Crystal Ranch Road.  Replaced sock and shoe.  Hiked West back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107085 - Crystal Ranch Road about 1 mile.  Turned left and did another 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107086 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107087 - breathing through nose most of the way.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107088 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107089 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107090 - knee pain level 0 entire distance.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107091 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107092 - effective preventing osteoarthritis.  Blisters and calluses both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107093 - pain level 0.  Turned onto Rolling Woods Way again.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107094 - hill maintained good pace for .3 miles breathing through nose most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107095 - the way.  Going downhill slowed pace.  Both knees pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107096 - Turned left going North and hiked on Pine Hollow 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107097 - Valley Road.  Turned left going West on Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107098 - 1 mile back to Crystal Ranch Road.  Then hiked uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107099 - Cowell.  Felt okay, so increased pace going uphill to summit.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107100 - summit hiked 2 miles downhill pain level 0.  Turned right onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107101 - Grove.  Called Kathy to meet at Treat.  Hiked 1 mile to Treat at fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107102 - pace.  Kathy drove us home for 18 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107104 -  ..
107105 - Breakfast - cheerios chia seeds milk with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107106 - Lunch - pizza 1 slice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107107 - Dinner - pizza 1 slice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107109 -  ..
107110 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107114 -         ..
107115 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107116 -  234.  180820 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107117 -               0815....BP HR with Diff........................................... 138  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107118 -               0820....BP HR with Diff........................................... 129  73  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107119 -               0830....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107120 -               0830... 20 16000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107121 -               0830... 80 88140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107122 -               0830... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107123 -               0000... Naproxen (Aleve) 1 pill 250  62850                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107124 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107125 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107126 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107127 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107128 -               0840....pushups...... 20 240 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107129 -          * cr 1000....miles...........  15.0  15.00  235  235 minutes temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107130 -               1425....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107131 -               1435....BP HR with Diff...........................................  99  74  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107132 -               1440....BP HR with Diff........................................... 107  69  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107133 -               1620... 40 35700 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107134 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107135 -               1930... 1000  230000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107136 -               2100............ 10 10610  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107137 -               2100............ 10 10200  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107138 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107139 -               0000... 40 15200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107140 -               2230... 80 88220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107142 -  ..
107143 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107145 -  ..
107146 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107147 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107148 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107149 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107151 -  ..
107152 - Blood pressure worse, poor, and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107153 - calcium carbonate (Tums) and pausing Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107154 - last night, and after hiking 18 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107155 - ref SDS 0 EF5K  BP and heart rate good after hiking 18 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107156 - temperature 81.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107158 -  ..
107159 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107160 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107161 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107162 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107163 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107164 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107165 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107167 -  ..
107168 - Weight - 182 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107169 - less eating.  After hiking 15 miles lost 6 pounds to 176.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107171 -  ..
107172 - Pain medication - hydrocodone 5mg with acetaminophen 325 mg (Norco),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107173 - after taking naproxen 250 mg yesterday, per above, ref SDS 0 EF5K -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107174 - reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107175 - lowers HDL.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107176 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107177 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107178 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107179 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107180 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107181 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107182 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107183 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107184 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107185 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107186 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107187 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107188 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107190 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107191 -                                                    Pain Level   Day
107192 -         ..
107193 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107194 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107195 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107196 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107197 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107198 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107199 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107200 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107201 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107202 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107203 -        Metatarsalgia left foot......................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107204 -        Metatarsalgia right foot.....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107205 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107206 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107207 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107208 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107209 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107211 -  ..
107212 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107213 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107214 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107215 - no evident peripheral neuropathy in right foot after pausing statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107216 - last night on 180819, per above. ref SDS 0 EF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107218 -  ..
107219 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107220 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107222 -  ..
107223 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107224 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107225 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107227 -  ..
107228 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107229 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107230 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107231 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107233 -  ..
107234 - Left foot metatarsalgia - pain level 2 starting hike for several miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107235 - until hydrocodone medication took full effect.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107236 - treated with PRP injections on 180620 1530. ref SDS 94 V78L  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107237 - hike called Doctor Tucker's office and scheduled another PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107238 - in both feet and knees on 180824 1515, reported in another record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107239 - today, on 180820 1039. ref SDS A6 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107241 -  ..
107242 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107243 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107244 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107245 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107246 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107248 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107249 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107250 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107251 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107252 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107253 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107254 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107255 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107256 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107257 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107258 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107259 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107261 -  ..
107262 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107263 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107264 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107266 -  ..
107267 - Left knee - forgot to take Glucosamine Chondroitin today to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107268 - relieve pressure from thinning miniscus.  Pain level 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107269 - due to Hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107271 -  ..
107272 - Right knee - forgot to take Glucosamine Chondroitin today to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107273 - pressure from thinning miniscus.  Pain level 0 entire hike due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107274 - Hydrocodone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107276 -  ..
107277 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107279 -  ..
107280 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107281 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107282 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107283 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107285 -  ..
107286 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107287 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107288 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107289 - entire hike.  Metatarsalgia left foot pain level 2, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107290 - level 1.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107291 - hiking concrete sidewalk.  Metatarsalgia pain subsided as hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107292 - medication took effect.  No burning sensation right foot entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107293 - Calluses big toes both feet pain level 0 entire hike, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107294 - maintenance on 180817, per above. ref SDS 0 UYRW  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107295 - plate injury pain level 0.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107296 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107297 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107298 - Eastbound traffic flow.  Time mile 4.25 64 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107299 - Ygnacio Valley Road 1 mile.  About mile 4.4 felt peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107300 - bottom right foot.  Only last .25 miles.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107301 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107302 - pace going 1 mile uphill breathing through nose entire length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107303 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107304 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107305 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107306 - level 0 entire distance.  Indicates PRP treatments on 170726, 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107307 - and most recently on 180620, 180620, ref SDS 94 0001, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107308 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107309 - feet, indicating effective protection wearing Smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107310 - on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107311 - up steep hill felt strong - increased pace for .3 miles breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107312 - through nose entire distance.  Going downhill slowed pace.  Pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107313 - 0 left knee, and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107314 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107315 - to Crystal Ranch Road about 1 mile.  Turned left and did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107316 - 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107317 - breathing through nose most of the way.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107318 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107319 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107320 - knee pain level 0 entire distance.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107321 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107322 - effective preventing osteoarthritis.  Blisters and calluses both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107323 - pain level 0.  Turned onto Rolling Woods Way again.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107324 - hill maintained good pace for .3 miles breathing through nose most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107325 - the way.  Going downhill slowed pace.  Both knees pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107326 - Turned left going North and hiked on Pine Hollow 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107327 - Valley Road.  Turned left going West on Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107328 - 1 mile back to Crystal Ranch Road.  Then hiked uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107329 - Cowell.  Felt tired, so turned right onto Cowell and hiked home for 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107330 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107332 -  ..
107333 - Breakfast - cheerios chia seeds milk with hydrocodone and acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107334 - Lunch - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107335 - Dinner - meatloaf squash potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107337 -  ..
107338 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107342 -         ..
107343 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107344 -  235.  180821 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107345 -               0835....BP HR with Diff........................................... 136  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107346 -               0840....BP HR with Diff........................................... 135  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107347 -               0840....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107348 -               0840... 20 16020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107349 -               0840... 80 88300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107350 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107351 -               0840... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107352 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107353 -               0840....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107354 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107355 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107356 -               0840....pushups...... 20 260 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107357 -          * cr 1200....miles...........  11.0  26.00  169  404 minutes temp  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107358 -               1515....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107359 -               1520....BP HR with Diff...........................................  99  68  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107360 -               1525....BP HR with Diff........................................... 109  63  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107361 -               1700... 40 35740 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107362 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107363 -             1 0000............ 10 10610  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107364 -             1 0000............ 10 10200  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107365 -               2100... 40 15240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107366 -               2130... 2000  233000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107367 -               2230... 80 88380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107368 -               2340... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107370 -  ..
107371 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107373 -  ..
107374 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107375 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107376 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107377 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107379 -  ..
107380 - Blood pressure poor, and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107381 - carbonate (Tums) and pausing Mylanta gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107382 - night, and after hiking 15 miles yesterday. per above. ref SDS 0 ZF7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107383 - BP and heart rate okay after hiking 11 miles in temperature 69.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107385 -  ..
107386 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107387 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107388 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107389 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107390 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107391 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107392 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107394 -  ..
107395 - Weight - 181 this morning after hiking 15 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107396 - less eating.  After hiking 15 miles today, lost 4 pounds to 177.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107398 -  ..
107399 - Pain medication - Naproxen 250mg, after taking Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107400 - acetaminophen 325 mg yesterday, per above, ref SDS 0 ZF7K, - reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107401 - risk of daily acetaminophen 1000 mg causing intoxication that lowers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107402 - HDL.  Naproxex 1 pill 250 mg seems smaller and so reduces risk getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107403 - stuck above LESV and causing ulceration.  Seemed like Naproxen pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107404 - (NSAID which conflicts with PRP line of care) got stuck on 180702,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107405 - reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107406 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107407 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107408 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107409 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107410 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107411 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107412 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107413 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107414 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107415 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107417 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107418 -                                                    Pain Level   Day
107419 -         ..
107420 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107421 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107422 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107423 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107424 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107425 -        Calf left...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107426 -        Calf right..................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107427 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107428 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107429 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107430 -        Metatarsalgia left foot......................   2         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107431 -        Metatarsalgia right foot.....................   1         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107432 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107433 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107434 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107435 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107436 -        Peripheral neruopathy right foot.............   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107438 -  ..
107439 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107440 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107441 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107442 - no evident peripheral neuropathy in right foot after pausing statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107443 - last night on 180819, per above. ref SDS 0 EF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107445 -  ..
107446 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107447 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107449 -  ..
107450 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107451 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107452 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107454 -  ..
107455 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107456 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107457 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107458 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107460 -  ..
107461 - Left foot metatarsalgia - pain level 2 starting on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107462 - until Neproxen medication took full effect.  Left foot was not treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107463 - with PRP injections on 180620 1530. ref SDS 94 V78L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107465 -  ..
107466 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107467 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107468 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107469 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107470 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107472 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107473 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107474 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107475 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107476 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107477 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107478 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107479 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107480 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107481 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107482 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107483 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107485 -  ..
107486 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107487 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107488 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107490 -  ..
107491 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107492 - from thinning miniscus.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107494 -  ..
107495 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107496 - from thinning miniscus.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107498 -  ..
107499 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107501 -  ..
107502 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107503 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107504 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107505 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107507 -  ..
107508 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107509 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107510 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107511 - entire hike.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107512 - Clayton hiking concrete sidewalk.  No burning sensation right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107513 - entire hike.  Calluses big toes both feet pain level 0 entire hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107514 - because of maintenance on 180817, per above. ref SDS 0 UYRW  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107515 - foot plantar plate injury pain level 0.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107516 - Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107517 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107518 - hike against Eastbound traffic flow.  Time mile 4.25 66 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107519 - Continuing on Ygnacio Valley Road 1 mile.  Metatarsalgia recurred off                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107520 - and on for rest of hike.  About mile 4.4 felt peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107521 - bottom right foot.  Subsided after about 1 mile.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107522 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107523 - Good pace going 1 mile uphill breathing through nose entire length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107524 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107525 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107526 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107527 - level 0 entire distance.  Indicates PRP treatments on 170726, 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107528 - and most recently on 180620, 180620, ref SDS 94 0001, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107529 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107530 - feet, indicating effective protection wearing Smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107531 - on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107532 - up steep hill felt strong - increased pace for .3 miles breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107533 - through nose entire distance.  Going downhill slowed pace.  Pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107534 - 0 left knee, and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107535 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107536 - to Crystal Ranch Road about 1 mile.  Then hiked uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107537 - Cowell.  Felt tired, so turned right onto Cowell and hiked home for 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107538 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107540 -  ..
107541 - Breakfast - cheerios chia seeds milk with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107542 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107543 - Dinner - lettuce avocado onion tomato mushrooms pasta potatos, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107544 - milk, sandwich bologna tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107546 -  ..
107547 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107549 -  ..
107550 - Sat up in big recliner chair until 0430 next day to avoid vomiting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107554 -         ..
107555 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107556 -  236.  180822 0900..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107557 -               1100....BP HR with Diff........................................... 135  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107558 -               1105....BP HR with Diff........................................... 125  73  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107559 -               1110....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107560 -               1110... 20 16040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107561 -               1110... 80 88480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107562 -               1110... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107563 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107564 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107565 -               1110....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107566 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107567 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107568 -               1120....pushups...... 20 280 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107569 -          * cr 1230....miles...........  16.0  42.00  246  650 minutes temp  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107570 -               1705....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107571 -               1710....BP HR with Diff........................................... 116  77  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107572 -               1715....BP HR with Diff........................................... 107  76  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107573 -               1730... 40 35780 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107574 -               1910............ 10 10620  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107575 -               1910............ 10 10210  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107576 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107577 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107578 -               2020... 40 15240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107579 -               2050... 1000  234000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107580 -               2150... 80 88560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107582 -  ..
107583 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107585 -  ..
107586 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107587 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107588 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107589 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107591 -  ..
107592 - Blood pressure okay, and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107593 - carbonate (Tums) and taking Mylanta gastrointestinal and baking soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107594 - drugs last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107595 - ref SDS 0 4W5F  BP and heart rate okay after hiking 16 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107596 - temperature 79.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107598 -  ..
107599 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107600 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107601 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107602 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107603 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107604 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107605 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107607 -  ..
107608 - Weight - 183 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107609 - excessive eating.  After hiking 16 miles today, lost 5 pounds to 178.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107611 -  ..
107612 - Pain medication - Hydrocodone 5mg with acetaminophen 325 mg after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107613 - taking Naproxen 250mg, yesterday, per above, ref SDS 0 4W5F - reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107614 - risk of daily acetaminophen 1000 mg causing intoxication that lowers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107615 - HDL.  Naproxex 1 pill 250 mg seems smaller and so reduces risk getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107616 - stuck above LESV and causing ulceration.  Seemed like Naproxen pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107617 - (NSAID which conflicts with PRP line of care) got stuck on 180702,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107618 - reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107619 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107620 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107621 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107622 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107623 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107624 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107625 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107626 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107627 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107628 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107630 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107631 -                                                    Pain Level   Day
107632 -         ..
107633 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107634 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107635 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107636 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107637 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107638 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107639 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107640 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107641 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107642 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107643 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107644 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107645 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107646 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107647 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107648 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107649 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107651 -  ..
107652 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107653 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107654 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107655 - no evident peripheral neuropathy in right foot after pausing statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107656 - last night on 180821, per above. ref SDS 0 4W5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107658 -  ..
107659 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107660 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107662 -  ..
107663 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107664 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107665 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107667 -  ..
107668 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107669 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107670 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107671 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107673 -  ..
107674 - Left foot metatarsalgia - pain level 2 starting on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107675 - until Neproxen medication took full effect.  Left foot was not treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107676 - with PRP injections on 180620 1530. ref SDS 94 V78L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107678 -  ..
107679 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107680 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107681 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107682 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107683 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107685 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107686 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107687 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107688 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107689 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107690 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107691 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107692 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107693 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107694 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107695 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107696 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107698 -  ..
107699 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107700 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107701 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107703 -  ..
107704 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107705 - from thinning miniscus.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107707 -  ..
107708 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107709 - from thinning miniscus.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107711 -  ..
107712 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107714 -  ..
107715 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107716 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107717 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107718 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107720 -  ..
107721 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107722 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107723 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107724 - entire hike.  Metatarsalgia left foot pain level 2, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107725 - level 1.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107726 - hiking concrete sidewalk.  Metatarsalgia pain subsided as hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107727 - medication took effect.  No burning sensation right foot entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107728 - Calluses big toes both feet pain level 0 entire hike, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107729 - maintenance on 180817, per above. ref SDS 0 UYRW  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107730 - plate injury pain level 0.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107731 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107732 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107733 - Eastbound traffic flow.  Time mile 4.25 64 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107734 - Ygnacio Valley Road 1 mile.  About mile 4.4 felt peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107735 - bottom right foot.  Only last .25 miles.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107736 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107737 - pace going 1 mile uphill breathing through nose entire length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107738 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107739 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107740 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107741 - level 0 entire distance.  Indicates PRP treatments on 170726, 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107742 - and most recently on 180620, 180620, ref SDS 94 0001, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107743 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107744 - feet, indicating effective protection wearing Smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107745 - on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107746 - up steep hill felt strong - increased pace for .3 miles breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107747 - through nose entire distance.  Going downhill slowed pace.  Pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107748 - 0 left knee, and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107749 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107750 - to Crystal Ranch Road about 1 mile.  Turned left and did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107751 - 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107752 - breathing through nose most of the way.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107753 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107754 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107755 - knee pain level 0 entire distance.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107756 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107757 - effective preventing osteoarthritis.  Blisters and calluses both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107758 - pain level 0.  Turned onto Rolling Woods Way again.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107759 - hill maintained good pace for .3 miles breathing through nose most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107760 - the way.  Going downhill slowed pace.  Both knees pain level 0.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107761 - 75% downhill, woman hiking other way a dog, stopped me and explained a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107762 - driver hit an electrical pole on Pine Hollow.  The pole was knocked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107763 - down.  Electrical wires are laying on the ground.  The woman driver                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107764 - sped away.  A City Worker of somekind has stopped and placed cones for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107765 - traffic to route traffic away from the hazzard.  Turned left going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107766 - North and hiked on Pine Hollow 1 mile to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107767 - Encountered the downed utility pole with electrical wires laying on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107768 - the ground along the sidewalk.  It was easy to hike on the shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107769 - the road to avoid danger.  There was a single City Worker was present                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107770 - on the scene.  He said police and repair crews are on the way.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107771 - completing hike to end of Pine Hollow, turned left going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107772 - Ygnacio Valley Road and hiked 1 mile back to Crystal Ranch Road.  Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107773 - hiked uphill 1 mile to Cowell.  Felt tired, so turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107774 - Cowell and hiked home for 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107776 -  ..
107777 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107779 -  ..
107780 - Breakfast - cheerios chia seeds milk with naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107781 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107782 - Dinner - pizza, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107786 -         ..
107787 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107788 -  237.  180823 0700..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107789 -               0750....BP HR with Diff........................................... 139  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107790 -               0755....BP HR with Diff........................................... 124  66  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107791 -               0800....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107792 -               0800... 20 16060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107793 -               0800... 80 88640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107794 -               0800... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107795 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107796 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107797 -               0800....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107798 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107799 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107800 -               0900....pushups...... 20 280 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107801 -          * cr 1150....miles...........  16.0  56.00  249  899 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107802 -               1600....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107803 -               1605....BP HR with Diff........................................... 113  77  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107804 -               1610....BP HR with Diff........................................... 115  68  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107805 -               1630... 40 35820 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107806 -             1 0000............ 10 10620  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107807 -             1 0000............ 10 10210  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107808 -               1900... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107809 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107810 -               1930... 40 15280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107811 -               2010... 1000  235000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107812 -               2120... 80 88720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107814 -  ..
107815 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107817 -  ..
107818 - Orthopedic treatment PRP injections knees and feet on 180620 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107819 - following up prior PRP treatment on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107820 - Swelling in knees has subsided; now minimal to no knee pain walking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107821 - and none in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107823 -  ..
107824 - Blood pressure okay, and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107825 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107826 - and after hiking 16 miles yesterday. per above. ref SDS 0 T66F  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107827 - heart rate okay after hiking 16 miles in temperature 79.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107829 -  ..
107830 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107831 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107832 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107833 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107834 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107835 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107836 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107838 -  ..
107839 - Weight - 182 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107840 - excessive eating.  After hiking 16 miles today, lost 5 pounds to 177.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107842 -  ..
107843 - Pain medication - Hydrocodone 5mg with acetaminophen 325 mg after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107844 - taking same yesterday, per above, ref SDS 0 T66F - reduces risk of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107845 - daily acetaminophen 1000 mg causing intoxication that lowers HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107846 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107847 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107848 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107849 - on 180703, per above. ref SDS 0 SQTY  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107850 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107851 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107852 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107853 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107854 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107855 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107856 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107857 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107858 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107859 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107861 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107862 -                                                    Pain Level   Day
107863 -         ..
107864 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107865 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107866 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107867 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107868 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107869 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107870 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107871 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107872 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107873 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107874 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107875 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107876 -        Callus big toe left foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107877 -        Callus big toe right foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107878 -        Blister below big toe left foot..............   3          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107879 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107880 -        Peripheral neruopathy right foot.............   0         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107882 -  ..
107883 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107884 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107885 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107886 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107887 - night on 180822, per above. ref SDS 0 T66F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107889 -  ..
107890 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107891 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107893 -  ..
107894 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107895 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107896 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107898 -  ..
107899 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107900 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107901 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107902 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107904 -  ..
107905 - Left foot metatarsalgia - pain level 0 starting on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107906 - with Hydrocodone.  Left foot was not treated with PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107907 - 180620 1530. ref SDS 94 V78L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107909 -  ..
107910 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107911 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107912 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107913 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107914 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107916 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107917 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107918 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107919 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107920 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107921 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107922 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107923 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107924 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107925 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107926 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107927 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107929 -  ..
107930 - Blister left foot below big toe noticed after hiking 2nd loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107931 - Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107933 -  ..
107934 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107935 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107936 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107938 -  ..
107939 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107940 - from thinning miniscus.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107942 -  ..
107943 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107944 - from thinning miniscus.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107946 -  ..
107947 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107949 -  ..
107950 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107951 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107952 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107953 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107955 -  ..
107956 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107957 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107958 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107959 - entire hike.  Metatarsalgia left foot pain level 2, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107960 - level 1.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107961 - hiking concrete sidewalk.  Metatarsalgia pain subsided as hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107962 - medication took effect.  No burning sensation right foot entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107963 - Calluses big toes both feet pain level 0 entire hike, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107964 - maintenance on 180817, per above. ref SDS 0 UYRW  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107965 - plate injury pain level 0.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107966 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107967 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107968 - Eastbound traffic flow.  Time mile 4.25 64 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107969 - Ygnacio Valley Road 1 mile.  About mile 4.4 felt peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107970 - bottom right foot.  Only last .25 miles.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107971 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107972 - pace going 1 mile uphill breathing through nose entire length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107973 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107974 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107975 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107976 - level 0 entire distance.  Indicates PRP treatments on 170726, 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107977 - and most recently on 180620, 180620, ref SDS 94 0001, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107978 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107979 - feet, indicating effective protection wearing Smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107980 - on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107981 - up steep hill felt strong - increased pace for .3 miles breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107982 - through nose entire distance.  Going downhill slowed pace.  Pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107983 - 0 left knee, and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107984 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107985 - to Crystal Ranch Road about 1 mile.  Turned left and did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107986 - 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107987 - breathing through nose most of the way.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107988 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107989 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107990 - knee pain level 0 entire distance.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107991 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107992 - effective preventing osteoarthritis.  Blisters and calluses both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107993 - pain level 0.  Turned onto Rolling Woods Way again.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107994 - hill maintained good pace for .3 miles breathing through nose most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107995 - the way.  Going downhill slowed pace.  Both knees pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107996 - Turned left going North and hiked on Pine Hollow 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107997 - Valley Road.  Turned left going West on Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107998 - 1 mile back to Crystal Ranch Road.  Cowell.  Felt blister rising on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107999 - left foot below big toe, so hiked uphill 1 mile and turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108000 - Cowell.  Hiked 1 mile to Treat, then home for 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108002 -  ..
108003 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108005 -  ..
108006 - Breakfast - cheerios chia seeds milk with hydrocodone and acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108007 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108008 - Dinner - lettuce avocado tuna onion tomato pasta mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108012 -         ..
108013 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108014 -  238.  180824 0500..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108015 -               0520....BP HR with Diff........................................... 135  79  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108016 -               0525....BP HR with Diff........................................... 126  73  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108017 -               0530....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108018 -               0530... 20 16080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108019 -               0530... 80 88800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108020 -               0530... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108021 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108022 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108023 -               0530....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108024 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108025 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108026 -               0540....pushups...... 20 300 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108027 -          * cr 0550....miles...........  17.0  73.00  260  899 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108028 -               1100....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108029 -               1105....BP HR with Diff........................................... 121  68  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108030 -               1110....BP HR with Diff........................................... 118  74  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108031 -               1830... 40 35860 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108032 -               1950............ 10 10630  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108033 -               1950............ 10 10220  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108034 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108035 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108036 -               2120... 40 15320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108037 -               2150... 1000  236000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108038 -               2250... 80 88880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108040 -  ..
108041 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108043 -  ..
108044 - Orthopedic treatment PRP injections knees and feet today, on 180824                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108045 - 1550, ref SDS A8 0001, after prior treatment on 180620 1530, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108046 - up prior PRP treatment on 180105 1630. ref SDS 80 0001  Swelling in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108047 - knees has subsided; now minimal to no knee pain walking and none in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108048 - feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108050 -  ..
108051 - Blood pressure okay, and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108052 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108053 - and after hiking 16 miles yesterday. per above. ref SDS 0 FP5O  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108054 - heart rate okay after hiking 16 miles in temperature 79.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108056 -  ..
108057 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108058 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108059 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108060 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108061 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108062 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108063 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108065 -  ..
108066 - Weight - 181 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108067 - eating less.  After hiking 16 miles today, lost 5 pounds to 177.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108069 -  ..
108070 - Pain medication - Hydrocodone 5mg with acetaminophen 325 mg after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108071 - taking same yesterday, per above, ref SDS 0 T66F - reduces risk of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108072 - daily acetaminophen 1000 mg causing intoxication that lowers HDL for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108073 - lab today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108074 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108075 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108076 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108077 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108078 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108079 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108080 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108081 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108082 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108083 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108084 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108085 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108086 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108088 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108089 -                                                    Pain Level   Day
108090 -         ..
108091 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108092 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108093 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108094 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108095 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108096 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108097 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108098 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108099 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108100 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108101 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108102 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108103 -        Callus big toe left foot.....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108104 -        Callus big toe right foot....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108105 -        Blister below big toe left foot..............   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108106 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108107 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108109 -  ..
108110 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108111 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108112 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108113 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108114 - statins last night on 180823, per above. ref SDS 0 FP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108116 -  ..
108117 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108118 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108120 -  ..
108121 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108122 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108123 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108125 -  ..
108126 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108127 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108128 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108129 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108131 -  ..
108132 - Left foot metatarsalgia - pain level 0 starting on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108133 - with Hydrocodone.  Left foot was not treated with PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108134 - 180620 1530. ref SDS 94 V78L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108136 -  ..
108137 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108138 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108139 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108140 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108141 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108143 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108144 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108145 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108146 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108147 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108148 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108149 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108150 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108151 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108152 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108153 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108154 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108156 -  ..
108157 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108158 - ref SDS 0 WQWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108160 -  ..
108161 - Left knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108162 - from thinning miniscus.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108164 -  ..
108165 - Right knee - took Glucosamine Chondroitin today to relieve pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108166 - from thinning miniscus.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108168 -  ..
108169 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108171 -  ..
108172 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108173 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108174 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108175 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108177 -  ..
108178 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108179 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108180 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108181 - entire hike.  Metatarsalgia left foot pain level 2, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108182 - level 1.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108183 - hiking concrete sidewalk.  Metatarsalgia pain subsided as hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108184 - medication took effect.  No burning sensation right foot entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108185 - Calluses big toes both feet pain level 0 entire hike, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108186 - maintenance on 180817, per above. ref SDS 0 UYRW  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108187 - plate injury pain level 0.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108188 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108189 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108190 - Eastbound traffic flow.  Time mile 4.25 64 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108191 - Ygnacio Valley Road 1 mile.  About mile 4.4 felt peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108192 - bottom right foot.  Only last .25 miles.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108193 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108194 - pace going 1 mile uphill breathing through nose entire length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108195 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108196 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108197 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108198 - level 0 entire distance.  Indicates PRP treatments on 170726, 180105,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108199 - and most recently on 180620, 180620, ref SDS 94 0001, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108200 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108201 - feet, indicating effective protection wearing Smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108202 - on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108203 - up steep hill felt strong - increased pace for .3 miles breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108204 - through nose entire distance.  Going downhill slowed pace.  Pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108205 - 0 left knee, and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108206 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108207 - to Crystal Ranch Road about 1 mile.  Turned left and did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108208 - 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108209 - breathing through nose most of the way.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108210 - flat ground.  Going down steep hill toward Rolling Woods Way slower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108211 - pace to protect knees.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108212 - knee pain level 0 entire distance.  Indicates PRP treatments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108213 - 170726, 180105, and most recently on 180620, 180620, ref SDS 94 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108214 - effective preventing osteoarthritis.  Blisters and calluses both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108215 - pain level 0.  Turned onto Rolling Woods Way again.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108216 - hill maintained good pace for .3 miles breathing through nose most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108217 - the way.  Going downhill slowed pace.  Both knees pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108218 - Turned left going North and hiked on Pine Hollow 1 mile to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108219 - Valley Road.  Turned left going West on Ygnacio Valley Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108220 - 1 mile back to Crystal Ranch Road.  Turned left and did 4-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108221 - on Crystal Ranch Road again.  Seemed fast going uphill 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108222 - Slowed on flat ground and downhill.  Turned left onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108223 - Way and hiked .3 miles up steep hill.  This was more difficult then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108224 - prior 2 passes.  Slowed pace going downhill to Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108225 - corner onto Pine Hollow Road.  Called Kathy to meet at Texaco station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108226 - at corner of Ygnacio Valley Road and Pine Hollow.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108227 - Ygnacio Valley Road.  Kathy drove us home for 16 mile hike.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108228 - good doing 3-loops on Crystal Ranch for 1st time.  Getting another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108229 - PRP treatment for feet and knees, so will have 3 or 4 days of reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108230 - hiking.  This will enable blisters on feet to heal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108232 -  ..
108233 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108235 -  ..
108236 - Breakfast - banana and water with hydrocodone and acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108237 - Lunch - half sandwich bread bologna tomato onion cheese fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108238 - Dinner - lettuce avocado tuna onion tomato pasta mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108242 -         ..
108243 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108244 -  239.  180825 0745..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108245 -               0900....BP HR with Diff........................................... 131  70  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108246 -               0905....BP HR with Diff........................................... 133  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108247 -               0910....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108248 -               0910... 20 16080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108249 -               0910... 80 88800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108250 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108251 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108252 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108253 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108254 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108255 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108256 -               0910....pushups...... 20 320 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108257 -               1100....miles...........   4.0  79.00   68 1231 minutes temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108258 -               1440....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108259 -               1445....BP HR with Diff........................................... 132  73  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108260 -               1450....BP HR with Diff........................................... 131  74  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108261 -               1630... 40 35860 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108262 -             1 0000............ 10 10630  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108263 -             1 0000............ 10 10220  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108264 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108265 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108266 -               1940... 40 15320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108267 -               2010... 1000  236000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108268 -               2130... 80 88880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108270 -  ..
108271 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108273 -  ..
108274 - Orthopedic treatment PRP injections knees and feet on 180824 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108275 - ref SDS A8 0001, following up prior PRP treatment on 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108276 - ref SDS 94 0001, and previously on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108278 -  ..
108279 - Blood pressure okay, and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108280 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108281 - last night, and after hiking 17 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108282 - ref SDS 0 VA8O  BP and heart rate okay after hiking 4 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108283 - temperature 76.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108285 -  ..
108286 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108287 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108288 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108289 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108290 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108291 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108292 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108294 -  ..
108295 - Weight - 181 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108296 - eating less.  After hiking 4 miles today, lost 3 pounds to 178.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108298 -  ..
108299 - Pain medication - none - PRP treatment yesterday, reported on 180824                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108300 - 1515, ref SDS A8 0001, should reduce need for pain medication, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108301 - cannot take NSAID, e.g., naproxen and ibuprofen, for 2 weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108302 - Hydrocodone 5mg with acetaminophen 325 mg after taking same yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108303 - per above, ref SDS 0 T66F - reduces risk of daily acetaminophen 1000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108304 - mg causing intoxication that lowers HDL for lab today.  Naproxex 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108305 - pill 250 mg seems smaller and so reduces risk getting stuck above LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108306 - and causing ulceration.  Seemed like Naproxen pill (NSAID which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108307 - conflicts with PRP line of care) got stuck on 180702, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108308 - 180703, per above. ref SDS 0 SQTY  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108309 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108310 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108311 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108312 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108313 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108314 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108315 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108316 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108317 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108318 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108320 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108321 -                                                    Pain Level   Day
108322 -         ..
108323 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108324 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108325 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108326 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108327 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108328 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108329 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108330 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108331 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108332 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108333 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108334 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108335 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108336 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108337 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108338 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108339 -        Peripheral neruopathy right foot.............   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108341 -  ..
108342 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108343 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108344 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108345 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108346 - night on 180824, per above. ref SDS 0 VA8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108348 -  ..
108349 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108350 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108352 -  ..
108353 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108354 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108355 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108357 -  ..
108358 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108359 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108360 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108361 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108363 -  ..
108364 - Left foot metatarsalgia - pain level 0, after treatment with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108365 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108367 -  ..
108368 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108369 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108370 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108371 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108372 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108374 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108375 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108376 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108377 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108378 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108379 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108380 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108381 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108382 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108383 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108384 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108385 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108387 -  ..
108388 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108389 - ref SDS 0 WQWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108391 -  ..
108392 - Left knee - did not take Glucosamine Chondroitin today to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108393 - pressure from thinning miniscus, because PRP injections on 180824, are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108394 - healing injury.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108396 -  ..
108397 - Right knee - did not take Glucosamine Chondroitin today to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108398 - pressure from thinning miniscus, because PRP injections on 180824, are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108399 - healing injury.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108401 -  ..
108402 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108404 -  ..
108405 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108406 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108407 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108408 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108410 -  ..
108411 - Lafayette Reservoir with Kathy - rehab PRP injection treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108412 - yesterday - hiked up and down the dam 3 times very slow.  Feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108413 - level 0 and knees pain level 0 despite slight right knee swelling.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108414 - Saw Claire and spoke for about 5 minutes.  She is traveling to Germany                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108415 - next month.  Saw Kathy and we walked back to the dam, then to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108416 - other end and back, making a total of 4 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108418 -  ..
108419 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108421 -  ..
108422 - Breakfast - eggs cheese toast bacon sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108423 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108424 - Dinner - pasta hamburger squash onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108428 -         ..
108429 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108430 -  240.  180826 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108431 -               0810....BP HR with Diff........................................... 149  77  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108432 -               0815....BP HR with Diff........................................... 134  74  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108433 -               0820....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108434 -               0820... 20 16100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108435 -               0820... 80 88960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108436 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108437 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108438 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108439 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108440 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108441 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108442 -               0830....pushups...... 20 340 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108443 -               0945....miles...........   5.0  84.00   82 1313 minutes temp  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108444 -               1220....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108445 -               1235....BP HR with Diff........................................... 127  71  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108446 -               1240....BP HR with Diff........................................... 121  63  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108447 -               1640... 40 35900 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108448 -               1930............ 10 10640  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108449 -               1930............ 10 10230  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108450 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108451 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108452 -               0000... 40 15320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108453 -               0000... 1000  236000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108454 -               2150... 80 89040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108456 -  ..
108457 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108459 -  ..
108460 - Orthopedic treatment PRP injections knees and feet on 180824 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108461 - ref SDS A8 0001, following up prior PRP treatment on 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108462 - ref SDS 94 0001, and previously on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108464 -  ..
108465 - Blood pressure poor, and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108466 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108467 - last night, and after hiking 4 miles yesterday. per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108468 - PZ5I BP and heart rate okay after hiking 5 miles in temperature 71.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108470 -  ..
108471 - This evening paused Mylanta and Calcium Carbonate (Tums) to lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108472 - blood pressure in tomorrow morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108474 -  ..
108475 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108476 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108477 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108478 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108479 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108480 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108481 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108483 -  ..
108484 - Weight - 181 this morning after hiking 4 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108485 - eating less.  After hiking 5 miles today, lost 2 pounds to 179.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108487 -  ..
108488 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108489 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108490 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108491 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108492 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108493 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108494 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108495 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108496 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108497 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108498 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108499 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108500 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108501 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108502 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108503 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108504 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108505 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108506 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108507 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108509 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108510 -                                                    Pain Level   Day
108511 -         ..
108512 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108513 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108514 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108515 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108516 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108517 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108518 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108519 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108520 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108521 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108522 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108523 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108524 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108525 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108526 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108527 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108528 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108530 -  ..
108531 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108532 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108533 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108534 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108535 - statins last night on 180825, per above. ref SDS 0 PZ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108537 -  ..
108538 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108539 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108541 -  ..
108542 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108543 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108544 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108546 -  ..
108547 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108548 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108549 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108550 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108552 -  ..
108553 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108554 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108555 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108556 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108557 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108559 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108560 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108561 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108562 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108563 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108564 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108565 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108566 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108567 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108568 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108569 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108570 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108572 -  ..
108573 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108574 - ref SDS 0 WQWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108576 -  ..
108577 - Left knee - did not take Glucosamine Chondroitin today to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108578 - pressure from thinning miniscus, because PRP injections on 180824, are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108579 - healing injury.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108581 -  ..
108582 - Right knee - did not take Glucosamine Chondroitin today to relieve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108583 - pressure from thinning miniscus, because PRP injections on 180824, are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108584 - healing injury.  Pain level 0 entire hike due to Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108586 -  ..
108587 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108589 -  ..
108590 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108591 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108592 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108593 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108595 -  ..
108596 - Lafayette Reservoir with Kathy - rehab PRP injection treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108597 - yesterday - hiked up and down the dam 4 times.  Feet pain level 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108598 - knees pain level 0 despite slight right knee swelling.  Saw Claire and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108599 - spoke for about 5 minutes.  She is traveling to Germany next month.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108600 - Saw Kathy and we walked back to the dam, then to the other end and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108601 - back, making a total of 4 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108603 -  ..
108604 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108606 -  ..
108607 - Breakfast - cheerios with chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108608 - Lunch - grilled cheese sandwich and meatloaf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108609 - Dinner - rice hamburger onion lettuce tomato asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108613 -         ..
108614 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108615 -  241.  180827 0700..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108616 -               0800....BP HR with Diff........................................... 141  77  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108617 -               0805....BP HR with Diff........................................... 131  72  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108618 -               0810....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108619 -               0810... 20 16100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108620 -               0810... 80 88960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108621 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108622 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108623 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108624 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108625 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108626 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108627 -               0830....pushups...... 20 360 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108628 -               1205....miles...........   7.0   7.00  113  113 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108629 -               1425....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108630 -               1430....BP HR with Diff........................................... 111  77  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108631 -               1440....BP HR with Diff........................................... 106  71  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108632 -               1700... 40 35900 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108633 -             1 0000............ 10 10640  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108634 -             1 0000............ 10 10230  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108635 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108636 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108637 -               0000... 40 15320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108638 -               2040... 1000  236000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108639 -               2210... 80 89040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108641 -  ..
108642 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108644 -  ..
108645 - Orthopedic treatment PRP injections knees and feet on 180824 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108646 - ref SDS A8 0001, following up prior PRP treatment on 180620,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108647 - ref SDS 94 0001, and previously on 180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108649 -  ..
108650 - Blood pressure better, but still not good, and heart rate very good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108651 - today, after not taking calcium carbonate (Tums) and taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108652 - gastrointestinal drugs last night, and after hiking 5 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108653 - per above. ref SDS 0 FG4G  BP and heart rate okay after hiking 7 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108654 - in temperature 75.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108656 -  ..
108657 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108658 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108659 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108660 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108661 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108662 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108663 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108665 -  ..
108666 - Weight - 179 this morning after hiking 5 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108667 - eating less.  After hiking 7 miles today, lost 3 pounds to 176.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108669 -  ..
108670 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108671 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108672 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108673 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108674 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108675 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108676 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108677 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108678 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108679 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108680 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108681 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108682 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108683 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108684 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108685 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108686 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108687 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108688 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108689 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108691 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108692 -                                                    Pain Level   Day
108693 -         ..
108694 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108695 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108696 -        Knee left....................................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108697 -        Knee right...................................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108698 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108699 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108700 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108701 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108702 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108703 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108704 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108705 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108706 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108707 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108708 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108709 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108710 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108712 -  ..
108713 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108714 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108715 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108716 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108717 - last night on 180826, per above. ref SDS 0 FG4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108719 -  ..
108720 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108721 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108723 -  ..
108724 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108725 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108726 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108728 -  ..
108729 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108730 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108731 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108732 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108734 -  ..
108735 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108736 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108738 -  ..
108739 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108740 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108742 -  ..
108743 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108744 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108745 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108746 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108747 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108749 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108750 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108751 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108752 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108753 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108754 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108755 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108756 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108757 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108758 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108759 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108760 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108762 -  ..
108763 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108764 - ref SDS 0 WQWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108766 -  ..
108767 - Left knee - pain level 0 most of hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108768 - 180824, are healing injury.  On Clayton or Ygnacio Valley Road pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108769 - level 2 for about 100 yards, then subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108771 -  ..
108772 - Right knee - pain level 0 most of hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108773 - 180824, are healing injury.  On Ygnacio Valley Road or Cowell pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108774 - level 2 for about 100 yards, then subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108776 -  ..
108777 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108779 -  ..
108780 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108781 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108782 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108783 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108785 -  ..
108786 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108787 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108788 - good; slow pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108789 - Time to 1.25 miles 20 minutes.  Maintained slow pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108790 - concrete sidewalk.  No burning sensation right foot entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108791 - Calluses big toes both feet pain level 0 entire hike, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108792 - maintenance on 180820, per above. ref SDS 0 UTVU  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108793 - plate injury pain level 0.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108794 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108795 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108796 - Eastbound traffic flow.  Time mile 4.25 72 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108797 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, did not turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108798 - corner and hike 4-mile loop on Crystal Ranch Road to avoid over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108799 - stressing PRP injections on 180824 1515. ref SDS A8 0001  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108800 - on Ygnacio Valley Road uphill 1 mile to Cowell.  Turned onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108801 - and hiked 1 mile to Treat, then home for 7 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108803 -  ..
108804 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108806 -  ..
108807 - Breakfast - cheerios with chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108808 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108809 - Dinner - pasta hamburger onion lettuce tomato asparagus mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108813 -         ..
108814 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108815 -  242.  180828 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108816 -               0655....BP HR..................................................... 146  83  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108817 -               0700....BP HR..................................................... 135  79  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108818 -               0710....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108819 -               0710... 20 16120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108820 -               0710... 80 89120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108821 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108822 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108823 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108824 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108825 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108826 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108827 -               0730....pushups...... 20 380 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108828 -               0745....miles...........   7.0  14.00  106  113 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108829 -               0945....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108830 -               0955....BP HR..................................................... 109  76 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108831 -               1000....BP HR..................................................... 107  78  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108832 -               1820... 40 35940 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108833 -               1940............ 10 10650  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108834 -               1940............ 10 10240  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108835 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108836 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108837 -               2040... 40 15320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108838 -               2110... 1000  237000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108839 -               2150... 80 89200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108841 -  ..
108842 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108844 -  ..
108845 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108847 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108848 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108849 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108850 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108851 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108853 -  ..
108854 - Blood pressure worse and not good, and heart rate very good today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108855 - after taking calcium carbonate (Tums) and not taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108856 - gastrointestinal drugs last night, and after hiking 7 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108857 - per above. ref SDS 0 439J  BP and heart rate okay today, after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108858 - 7 miles in temperature 58.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108860 -  ..
108861 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108862 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108863 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108864 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108865 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108866 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108867 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108869 -  ..
108870 - Weight - 179 this morning after hiking 7 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108871 - eating less.  After hiking 7 miles today, lost 2 pounds to 177,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108872 - because of cooler temeprature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108874 -  ..
108875 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108876 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108877 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108878 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108879 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108880 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108881 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108882 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108883 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108884 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108885 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108886 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108887 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108888 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108889 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108890 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108891 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108892 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108893 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108894 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108896 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108897 -                                                    Pain Level   Day
108898 -         ..
108899 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108900 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108901 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108902 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108903 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108904 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108905 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108906 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108907 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108908 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108909 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108910 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108911 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108912 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108913 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108914 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108915 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108917 -  ..
108918 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108919 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108920 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108921 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108922 - statins last night on 180826, per above. ref SDS 0 FG4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108924 -  ..
108925 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108926 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108928 -  ..
108929 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108930 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108931 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108933 -  ..
108934 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108935 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108936 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108937 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108939 -  ..
108940 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108941 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108943 -  ..
108944 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108945 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108947 -  ..
108948 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108949 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108950 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108951 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108952 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108954 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108955 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108956 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108957 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108958 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108959 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108960 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108961 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108962 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108963 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108964 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108965 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108967 -  ..
108968 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108969 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108971 -  ..
108972 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108973 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108975 -  ..
108976 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108977 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108979 -  ..
108980 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108982 -  ..
108983 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108984 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108985 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108986 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108988 -  ..
108989 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108990 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108991 - good; slow pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108992 - Time to 1.25 miles 20 minutes.  Maintained slow pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108993 - concrete sidewalk.  No burning sensation right foot entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108994 - Calluses big toes both feet pain level 0 entire hike, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108995 - maintenance on 180820, per above. ref SDS 0 UTVU  Right foot plantar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108996 - plate injury pain level 0.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108997 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108998 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108999 - Eastbound traffic flow.  Time mile 4.25 72 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109000 - Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0, did not turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109001 - corner and hike 4-mile loop on Crystal Ranch Road to avoid over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109002 - stressing PRP injections on 180824 1515. ref SDS A8 0001  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109003 - on Ygnacio Valley Road uphill 1 mile to Cowell.  Turned onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109004 - and hiked 1 mile to Treat, then home for 7 mile hike, completing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109005 - rehab from PRP injection treatment on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109007 -  ..
109008 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109010 -  ..
109011 - Breakfast - ensure - few sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109012 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109013 - Dinner - lettuce onion celery cucumber tomato pasta tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109018 -         ..
109019 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109020 -  243.  180829 0700..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109021 -               0720....BP HR..................................................... 135  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109022 -               0725....BP HR..................................................... 131  58  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109023 -               0730....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109024 -               0730... 20 16140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109025 -               0730... 80 89280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109026 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109027 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109028 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109029 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109030 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109031 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109032 -               0740....pushups...... 40 420 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109033 -               1650... 40 35980 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109034 -             1 0000............ 10 10650  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109035 -             1 0000............ 10 10240  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109036 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109037 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109038 -               2010... 40 15400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109039 -               2130... 1000  238000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109040 -               2310... 80 89360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109042 -  ..
109043 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109045 -  ..
109046 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109048 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109049 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109050 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109051 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109052 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109054 -  ..
109055 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109056 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109057 - and after hiking 7 miles yesterday. per above. ref SDS 0 KW8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109059 -  ..
109060 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109061 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109062 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109063 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109064 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109065 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109066 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109068 -  ..
109069 - Weight - 178 this morning after hiking 7 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109070 - eating less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109072 -  ..
109073 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109074 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109075 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109076 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109077 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109078 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109079 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109080 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109081 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109082 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109083 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109084 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109085 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109086 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109087 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109088 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109089 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109090 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109091 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109092 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109094 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109095 -                                                    Pain Level   Day
109096 -         ..
109097 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109098 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109099 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109100 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109101 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109102 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109103 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109104 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109105 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109106 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109107 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109108 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109109 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109110 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109111 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109112 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109113 -        Peripheral neruopathy right foot.............   0          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109115 -  ..
109116 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109117 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109118 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109119 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109120 - night on 180828, per above. ref SDS 0 KW8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109122 -  ..
109123 - Hiking - none - actually walked about 2 miles with Kathy near VAMC in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109124 - Sacramento at Mather for about an hour, before meeting with Doctor Lee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109125 - in the GI Clinic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109127 -  ..
109128 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109130 -  ..
109131 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109132 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109133 - Dinner -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109137 -         ..
109138 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109139 -  244.  180830 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109140 -               0840....BP HR..................................................... 123  70  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109141 -               0845....BP HR..................................................... 121  66  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109142 -               0850....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109143 -               0850... 20 16160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109144 -               0850... 80 89440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109145 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109146 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109147 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109148 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109149 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109150 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109151 -               0940....pushups...... 45 425 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109152 -               1115....miles...........  12.0  26.00  181  294 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109153 -               1440....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109154 -               1450....BP HR.....................................................  94  65 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109155 -               1455....BP HR.....................................................  95  65 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109156 -               1700... 40 36020 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109157 -               2100............ 10 10660  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109158 -               2100............ 10 10250  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109159 -               1920... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109160 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109161 -               2010... 40 15440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109162 -               2130... 1000  239000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109163 -               2310... 80 89520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109165 -  ..
109166 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109168 -  ..
109169 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109171 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109172 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109173 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109174 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109175 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109177 -  ..
109178 - Blood pressure good and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109179 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109180 - and after hiking 2 miles yesterday. per above. ref SDS 0 XSWP  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109181 - hikine 12 miles BP and HR both good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109183 -  ..
109184 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109185 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109186 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109187 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109188 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109189 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109190 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109192 -  ..
109193 - Weight - 180 this morning after hiking 2 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109194 - eating more (3 meals).  After hiking 12 miles lost 5 pounds - weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109195 - 175.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109197 -  ..
109198 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109199 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109200 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109201 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109202 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109203 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109204 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109205 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109206 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109207 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109208 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109209 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109210 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109211 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109212 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109213 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109214 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109215 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109216 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109217 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109219 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109220 -                                                    Pain Level   Day
109221 -         ..
109222 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109223 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109224 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109225 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109226 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109227 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109228 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109229 -        Tailor's Bunion left foot....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109230 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109231 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109232 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109233 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109234 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109235 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109236 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109237 -        Burning sensation right foot.................   0          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109238 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109240 -  ..
109241 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109242 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109243 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109244 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109245 - statins last night on 180828, per above. ref SDS 0 KW8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109247 -  ..
109248 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109249 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109251 -  ..
109252 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109253 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109254 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109256 -  ..
109257 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109258 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109259 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109260 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109262 -  ..
109263 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109264 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109266 -  ..
109267 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109268 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109270 -  ..
109271 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109272 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109273 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109274 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109275 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109277 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109278 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109279 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109280 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109281 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109282 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109283 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109284 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109285 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109286 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109287 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109288 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109289 -        again today.................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109291 -  ..
109292 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109293 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109295 -  ..
109296 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109297 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109299 -  ..
109300 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109301 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109303 -  ..
109304 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109306 -  ..
109307 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109308 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109309 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109310 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109311 - days ago.  Felt this during hike, so need Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109312 - care again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109314 -  ..
109315 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109316 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109317 - slow pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109318 - to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109319 - sidewalk.  Burning sensation right foot about mile 2 and for about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109320 - miles.  Calluses big toes both feet pain level 0 entire hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109321 - of maintenance on 180820, per above. ref SDS 0 UTVU  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109322 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109323 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109324 - South Side to hike against Eastbound traffic flow.  Time mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109325 - minutes.  Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109326 - level 0, did not turn corner and hike 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109327 - Road to avoid over stressing PRP injections on 180824 1515.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109328 - ref SDS A8 0001  Continued on Ygnacio Valley Road uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109329 - Cowell.  Continued uphill on Ygnacio Valley Road to summit and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109330 - downhill 2 miles to Oak Grove.  Hiked 1 mile to Treat.  Hiked about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109331 - 1.5 miles to Cuneo.  Hiked 1 mile loop back to Cuneo then home for 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109332 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109334 -  ..
109335 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109337 -  ..
109338 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109339 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109340 - Dinner - pasta hamburger onion tomato avocado mushrooms chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109344 -         ..
109345 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109346 -  245.  180831 0555..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109347 -               0630....BP HR..................................................... 116  61  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109348 -               0635....BP HR..................................................... 120  67  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109349 -               0640....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109350 -               0640... 20 16180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109351 -               0640... 80 89600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109352 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109353 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109354 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109355 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109356 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109357 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109358 -               0650....pushups...... 45 450 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109359 -               1840... 40 36060 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109360 -             1 0000............ 10 10660  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109361 -             1 0000............ 10 10250  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109362 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109363 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109364 -               1920... 40 15480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109365 -               2000... 1000  240000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109366 -               2150... 80 89680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109368 -  ..
109369 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109371 -  ..
109372 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109374 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109375 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109376 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109377 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109378 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109380 -  ..
109381 - Blood pressure good and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109382 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109383 - and after hiking 2 miles yesterday. per above. ref SDS 0 XSWP  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109384 - hikine 12 miles BP and HR both good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109386 -  ..
109387 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109388 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109389 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109390 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109391 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109392 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109393 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109395 -  ..
109396 - Weight - 180 this morning after hiking 2 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109397 - eating more (3 meals).  After hiking 12 miles lost 5 pounds - weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109398 - 175.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109400 -  ..
109401 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109402 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109403 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109404 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109405 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109406 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109407 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109408 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109409 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109410 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109411 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109412 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109413 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109414 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109415 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109416 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109417 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109418 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109419 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109420 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109422 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109423 -                                                    Pain Level   Day
109424 -         ..
109425 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109426 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109427 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109428 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109429 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109430 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109431 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109432 -        Tailor's Bunion left foot....................   2        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109433 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109434 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109435 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109436 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109437 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109438 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109439 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109440 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109441 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109443 -  ..
109444 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109445 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109446 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109447 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109448 - statins last night on 180828, per above. ref SDS 0 KW8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109450 -  ..
109451 - Hiking - none, meeting with Morris on SDS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109454 -  ..
109455 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109457 -  ..
109458 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109459 - Lunch - half hamburger and few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109460 - Dinner - rise hamburber asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109464 -         ..
109465 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109466 -  246.  180901 0735..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109467 -               0910....BP HR..................................................... 142  76  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109468 -               0915....BP HR..................................................... 140  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109469 -               0920....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109470 -               0920... 20 16200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109471 -               0920... 80 89760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109472 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109473 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109474 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109475 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109476 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109477 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109478 -               1000....pushups...... 45 495 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109479 -          *cr  1110....miles...........  11.0  37.00  169  463 minutes temp  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109480 -               1420....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109481 -               1425....BP HR..................................................... 101  68 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109482 -               1430....BP HR.....................................................  91  60 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109483 -               1700... 40 36100 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109484 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109485 -               1920............ 10 10670  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109486 -               1920............ 10 10260  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109487 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109488 -               2030... 40 15480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109489 -               2050... 1000  241000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109490 -               2210... 80 89840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109492 -  ..
109493 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109495 -  ..
109496 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109498 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109499 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109500 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109501 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109502 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109504 -  ..
109505 - Blood pressure poor and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109506 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109507 - and after hiking 0 miles yesterday. per above. ref SDS 0 IR6I  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109508 - hiking 11 miles BP and HR both very good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109510 -  ..
109511 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109512 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109513 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109514 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109515 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109516 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109517 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109519 -  ..
109520 - Weight - 179 this morning after hiking 0 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109521 - eating more (3 meals).  After hiking 11 miles lost 4 pounds - weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109522 - 175.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109524 -  ..
109525 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109526 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109527 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109528 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109529 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109530 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109531 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109532 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109533 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109534 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109535 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109536 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109537 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109538 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109539 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109540 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109541 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109542 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109543 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109544 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109546 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109547 -                                                    Pain Level   Day
109548 -         ..
109549 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109550 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109551 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109552 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109553 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109554 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109555 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109556 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109557 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109558 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109559 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109560 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109561 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109562 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109563 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109564 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109565 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109567 -  ..
109568 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109569 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109570 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109571 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109572 - statins last night on 180831, per above. ref SDS 0 IR6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109574 -  ..
109575 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109576 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109578 -  ..
109579 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109580 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109581 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109583 -  ..
109584 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109585 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109586 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109587 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109589 -  ..
109590 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109591 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109593 -  ..
109594 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109595 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109597 -  ..
109598 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109599 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109600 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109601 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109602 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109604 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109605 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109606 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109607 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109608 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109609 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109610 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109611 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109612 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109613 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109614 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109615 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109616 -        again today.................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109618 -  ..
109619 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109620 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109622 -  ..
109623 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109624 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109626 -  ..
109627 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109628 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109630 -  ..
109631 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109633 -  ..
109634 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109635 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109636 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109637 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109638 - days ago.  Felt this during hike, so need Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109639 - care again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109641 -  ..
109642 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109643 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109644 - normal pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109645 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109646 - concrete sidewalk.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109647 - hike, because of maintenance on 180820, per above. ref SDS 0 UTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109648 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109649 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109650 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109651 - 4.25 67 minutes.  Continuing on Ygnacio Valley Road 1 mile.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109652 - 4.75 pain level 0, turned corner and hike 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109653 - Road.  Good pace going 1 mile uphill.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109654 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109655 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109656 - level 0 entire distance.  Indicates PRP treatments, recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109657 - 180824, and prior treatments listed above, ref SDS 0 XXSR, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109658 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109659 - feet, indicating effective treatment, per above, ref SDS 0 XYSU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109660 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109661 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109662 - felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109663 - entire distance.  Going downhill maintained good pace.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109664 - left knee, and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109665 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109666 - to Crystal Ranch Road about 1 mile.  Hiked uphill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109667 - Road 1 mile to Cowell.  Turned right and hiked downhill .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109668 - and then to Treat and home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109670 -  ..
109671 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109673 -  ..
109674 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109675 - Lunch - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109676 - Dinner - lettuce tuna onion tomato avocado mushrooms, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109680 -         ..
109681 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109682 -  247.  180902 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109683 -               0830....BP HR..................................................... 134  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109684 -               0835....BP HR..................................................... 129  73  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109685 -               0840....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109686 -               0840... 20 16200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109687 -               0840... 80 89760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109688 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109689 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109690 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109691 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109692 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109693 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109694 -               0900....pushups...... 45 550 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109695 -          *cr  0940....miles...........  13.0  50.00  236  463 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109696 -               1330....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109697 -               1335....BP HR..................................................... 102  67 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109698 -               1340....BP HR..................................................... 101  69  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109699 -               1720... 40 36100 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109700 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109701 -             1 0000............ 10 10670  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109702 -             1 0000............ 10 10260  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109703 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109704 -               1910... 40 15480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109705 -               1950... 1000  241000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109706 -               2120... 80 89840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109708 -  ..
109709 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109711 -  ..
109712 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109714 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109715 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109716 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109717 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109718 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109720 -  ..
109721 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109722 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109723 - and after hiking 11 miles yesterday. per above. ref SDS 0 GA3G  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109724 - hiking 13 miles BP and HR both good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109726 -  ..
109727 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109728 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109729 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109730 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109731 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109732 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109733 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109735 -  ..
109736 - Weight - 179 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109737 - eating less.  After hiking 13 miles lost 5 pounds - weight 174.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109739 -  ..
109740 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109741 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109742 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109743 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109744 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109745 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109746 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109747 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109748 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109749 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109750 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109751 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109752 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109753 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109754 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109755 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109756 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109757 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109758 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109759 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109761 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109762 -                                                    Pain Level   Day
109763 -         ..
109764 -        Hip left.....................................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109765 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109766 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109767 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109768 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109769 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109770 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109771 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109772 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109773 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109774 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109775 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109776 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109777 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109778 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109779 -        Burning sensation right foot.................   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109780 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109782 -  ..
109783 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109784 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109785 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109786 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109787 - statins last night on 180831, per above. ref SDS 0 IR6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109789 -  ..
109790 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109791 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109793 -  ..
109794 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109795 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109796 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109798 -  ..
109799 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109800 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109801 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109802 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109804 -  ..
109805 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109806 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109808 -  ..
109809 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109810 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109812 -  ..
109813 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109814 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109815 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109816 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109817 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109819 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109820 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109821 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109822 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109823 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109824 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109825 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109826 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109827 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109828 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109829 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109830 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109831 -        again today.................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109833 -  ..
109834 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109835 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109837 -  ..
109838 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109839 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109841 -  ..
109842 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109843 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109845 -  ..
109846 - Hip left, pain level 1 hiking along Oak Grove because road shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109847 - is severely sloped for about 1 mile.  Resolved after shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109848 - became flatter near end of hike on this section.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109850 -  ..
109851 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109852 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109853 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109854 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109855 - days ago.  Felt this during hike, so need Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109856 - care again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109858 -  ..
109859 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109860 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109861 - good; normal pace to rehab PRP treatment on 180824 1515. ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109862 - 0001  Time to 1.25 miles 19 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109863 - hiking concrete sidewalk.  Calluses big toes both feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109864 - entire hike, because of maintenance on 180830, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109865 - XUQW  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109866 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109867 - from North to South Side to hike against Eastbound traffic flow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109868 - Began feeling peripheral neuropathy right foot.  Time mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109869 - minutes - peripheral neuropathy right foot stopped at Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109870 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109871 - turned corner and hike 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109872 - going 1 mile uphill.  Breathing through nose entire uphill distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109873 - indicates cardio pulmonary function improving.  Pain level 0.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109874 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109875 - Rolling Woods Way faster pace today.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109876 - distance.  Right knee pain level 0 entire distance.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109877 - treatments, recently on 180824, and prior treatments listed above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109878 - ref SDS 0 XXSR, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109879 - pain level 0 calluses both feet, indicating effective treatment, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109880 - above, ref SDS 0 XYSU, and protection wearing Smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109881 - on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109882 - up steep hill felt strong - increased pace for .3 miles breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109883 - through nose entire distance.  Going downhill maintained good pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109884 - Pain level 0 left knee, and right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109885 - treatment for feet and knees effective on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109886 - Turned corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109887 - Road.  Hiked West back to Crystal Ranch Road about 1 mile.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109888 - uphill on Ygnacio Valley Road 1 mile to Cowell.  Continued uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109889 - summit, and then hiked 2 miles downhill to Oak Grove.  Called Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109890 - to meet at Treat.  Hiked 1 mile to Treat.  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109892 -  ..
109893 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109895 -  ..
109896 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109897 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109898 - Dinner - lettuce tuna onion tomato avocado mushrooms, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109902 -         ..
109903 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109904 -  248.  180903 0630..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109905 -               0650....BP HR..................................................... 142  83  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109906 -               0655....BP HR..................................................... 125  72  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109907 -               0705....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109908 -               0710... 20 16220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109909 -               0710... 80 89920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109910 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109911 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109912 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109913 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109914 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109915 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109916 -               0720....pushups...... 50 600 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109917 -          *cr  0810....miles...........  18.0  18.00  278  278 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109918 -               1300....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109919 -               1315....BP HR..................................................... 104  72 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109920 -               1320....BP HR..................................................... 101  68 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109921 -               1645... 40 36140 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109922 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109923 -               1900............ 10 10680  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109924 -               1900............ 10 10270  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109925 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109926 -               2010... 40 15520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109927 -               2030... 1000  242000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109928 -               2120... 80 90000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109930 -  ..
109931 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109933 -  ..
109934 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109936 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109937 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109938 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109939 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109940 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109942 -  ..
109943 - Blood pressure good and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109944 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109945 - and after hiking 13 miles yesterday. per above. ref SDS 0 7P6F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109946 - hiking 18 miles BP and HR both good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109948 -  ..
109949 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109950 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109951 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109952 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109953 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109954 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109955 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109957 -  ..
109958 - Weight - 179 this morning after hiking 13 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109959 - eating less.  After hiking 18 miles lost 6 pounds - weight 173.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109961 -  ..
109962 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109963 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109964 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109965 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109966 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109967 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109968 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109969 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109970 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109971 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109972 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109973 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109974 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109975 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109976 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109977 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109978 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109979 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109980 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109981 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109983 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109984 -                                                    Pain Level   Day
109985 -         ..
109986 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109987 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109988 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109989 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109990 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109991 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109992 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109993 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109994 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109995 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109996 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109997 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109998 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109999 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110000 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110001 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110002 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110004 -  ..
110005 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110006 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110007 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110008 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110009 - statins last night on 180902, per above. ref SDS 0 7P6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110011 -  ..
110012 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110013 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110015 -  ..
110016 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110017 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110018 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110020 -  ..
110021 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110022 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110023 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110024 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110026 -  ..
110027 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110028 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110030 -  ..
110031 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110032 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110034 -  ..
110035 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110036 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110037 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110038 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110039 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110041 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110042 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110043 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110044 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110045 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110046 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110047 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110048 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110049 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110050 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110051 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110052 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110053 -        again today.................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110055 -  ..
110056 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110057 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110059 -  ..
110060 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110061 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110063 -  ..
110064 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110065 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110067 -  ..
110068 - Hip left, pain level 1 hiking along Oak Grove because road shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110069 - is severely sloped for about 1 mile.  Resolved after shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110070 - became flatter near end of hike on this section.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110072 -  ..
110073 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110074 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110075 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110076 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110077 - days ago.  Felt this during hike, so need Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110078 - care again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110080 -  ..
110081 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110082 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110083 - good; normal pace to rehab PRP treatment on 180824 1515. ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110084 - 0001  Time to 1.25 miles 19 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110085 - hiking concrete sidewalk.  Calluses big toes both feet pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110086 - entire hike, because of maintenance on 180830, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110087 - XUQW  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110088 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110089 - from North to South Side to hike against Eastbound traffic flow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110090 - Began feeling peripheral neuropathy right foot.  Time mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110091 - minutes - peripheral neuropathy right foot stopped at Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110092 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110093 - turned corner and hike 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110094 - going 1 mile uphill.  Breathing through nose entire uphill distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110095 - indicates cardio pulmonary function improving.  Pain level 0.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110096 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110097 - Rolling Woods Way faster pace today.  Left knee pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110098 - distance.  Right knee pain level 0 entire distance.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110099 - treatments, recently on 180824, and prior treatments listed above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110100 - ref SDS 0 XXSR, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110101 - pain level 0 calluses both feet, indicating effective treatment, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110102 - above, ref SDS 0 XYSU, and protection wearing Smartwool socks received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110103 - on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110104 - up steep hill felt strong - increased pace for .3 miles breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110105 - through nose entire distance.  Going downhill maintained good pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110106 - Pain level 0 left knee, and right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110107 - treatment for feet and knees effective on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110108 - Turned corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110109 - Road.  Hiked West back to Crystal Ranch Road about 1 mile.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110110 - uphill on Ygnacio Valley Road 1 mile to Cowell.  Continued uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110111 - summit, and then hiked 2 miles downhill to Oak Grove.  Called Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110112 - to meet at Treat.  Hiked 1 mile to Treat.  Kathy drove us home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110114 -  ..
110115 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110117 -  ..
110118 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110119 - Lunch - hamburger fries, only 2 bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110120 - Dinner - tuna onion tomato avocado celery cucumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110124 -         ..
110125 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110126 -  249.  180904 0445..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110127 -               0510....BP HR..................................................... 127  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110128 -               0515....BP HR..................................................... 123  69  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110129 -               0520....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110130 -               0510... 20 16240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110131 -               1120... 80 90080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110132 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110133 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110134 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110135 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110136 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110137 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110138 -               0530....pushups...... 50 650 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110139 -               1120....miles...........   2.0  20.00   34  312 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110140 -               1200....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110141 -               1215....BP HR..................................................... 121  68  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110142 -               1220....BP HR..................................................... 118  62  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110143 -               1705... 40 36180 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110144 -               1900... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110145 -             1 0000............ 10 10680  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110146 -             1 0000............ 10 10270  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110147 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110148 -               1920... 40 15560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110149 -               1940... 1000  243000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110150 -               2120... 80 90160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110152 -  ..
110153 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110155 -  ..
110156 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110158 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110159 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110160 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110161 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110162 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110164 -  ..
110165 - Blood pressure good and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110166 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110167 - and after hiking 18 miles yesterday. per above. ref SDS 0 WW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110169 -  ..
110170 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110171 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110172 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110173 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110174 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110175 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110176 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110178 -  ..
110179 - Weight - 177 this morning after hiking 18 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110180 - eating less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110182 -  ..
110183 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110184 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110185 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110186 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110187 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110188 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110189 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110190 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110191 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110192 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110193 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110194 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110195 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110196 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110197 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110198 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110199 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110200 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110201 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110202 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110204 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110205 -                                                    Pain Level   Day
110206 -         ..
110207 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110208 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110209 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110210 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110211 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110212 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110213 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110214 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110215 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110216 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110217 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110218 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110219 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110220 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110221 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110222 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110223 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110225 -  ..
110226 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110227 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110228 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110229 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110230 - last night on 180903, per above. ref SDS 0 WW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110232 -  ..
110233 - Hiking - none due to EGD procedure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110235 -  ..
110236 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110238 -  ..
110239 - Breakfast - NPO for EGD procedure this morning.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110240 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110241 - Dinner - salmon onion tomato avocado mushrooms brocolli squash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110245 -         ..
110246 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110247 -  250.  180905 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110248 -               0740....BP HR..................................................... 140  72  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110249 -               0745....BP HR..................................................... 140  72  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110250 -               0750....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110251 -               0750... 20 16260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110252 -               1750... 80 90240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110253 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110254 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110255 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110256 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110257 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110258 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110259 -               0800....pushups...... 50 700 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110260 -           *cr 0850....miles...........  16.0  36.00  245  557 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110261 -               1340....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110262 -               1345....BP HR..................................................... 118  59  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110263 -               1350....BP HR..................................................... 118  68  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110264 -               1705... 40 36220 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110265 -               1920............ 10 10690  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110266 -               1920............ 10 10280  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110267 -               1920... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110268 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110269 -               2040... 40 15560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110270 -               2110... 1000  244000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110271 -               2230... 80 90320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110273 -  ..
110274 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110276 -  ..
110277 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110279 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110280 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110281 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110282 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110283 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110285 -  ..
110286 - Blood pressure good and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110287 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110288 - and after hiking 18 miles yesterday. per above. ref SDS 0 WW8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110290 -  ..
110291 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110292 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110293 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110294 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110295 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110296 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110297 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110299 -  ..
110300 - Weight - 183 this morning after hiking 2 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110301 - eating more.  After hiking 16 miles lost 7 pounds - weight 176.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110303 -  ..
110304 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110305 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110306 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110307 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110308 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110309 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110310 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110311 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110312 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110313 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110314 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110315 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110316 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110317 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110318 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110319 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110320 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110321 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110322 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110323 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110325 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110326 -                                                    Pain Level   Day
110327 -         ..
110328 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110329 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110330 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110331 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110332 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110333 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110334 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110335 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110336 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110337 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110338 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110339 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110340 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110341 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110342 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110343 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110344 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110346 -  ..
110347 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110348 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110349 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110350 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110351 - statins last night on 180904, per above. ref SDS 0 G65H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110353 -  ..
110354 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110355 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110357 -  ..
110358 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110359 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110360 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110362 -  ..
110363 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110364 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110365 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110366 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110368 -  ..
110369 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110370 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110372 -  ..
110373 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110374 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110376 -  ..
110377 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110378 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110379 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110380 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110381 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110383 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110384 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110385 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110386 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110387 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110388 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110389 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110390 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110391 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110392 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110393 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110394 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110395 -        again today.................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110397 -  ..
110398 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110399 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110401 -  ..
110402 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110403 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110405 -  ..
110406 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110407 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110409 -  ..
110410 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110412 -  ..
110413 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110414 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110415 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110416 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110417 - days ago.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110419 -  ..
110420 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110421 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110422 - normal pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110423 - Time to 1.25 miles 19 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110424 - concrete sidewalk.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110425 - hike, because of maintenance on 180830, per above. ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110426 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110427 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110428 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110429 - 4.25 66 minutes.  Continuing on Ygnacio Valley Road 1 mile.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110430 - 4.75 pain level 0, turned corner and hike 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110431 - Road.  Good pace going 1 mile uphill.  Pain level 0.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110432 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110433 - Woods Way faster pace today.  Left knee pain level 0 entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110434 - Right knee pain level 0 entire distance.  Indicates PRP treatments,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110435 - recently on 180824, and prior treatments listed above, ref SDS 0 XXSR,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110436 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110437 - calluses both feet, indicating effective treatment, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110438 - ref SDS 0 XYSU, and protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110439 - 180530 0726. ref SDS 92 9O6X  Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110440 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110441 - nose entire distance.  Going downhill maintained good pace.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110442 - level 0 left knee, and right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110443 - treatment for feet and knees effective on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110444 - Turned corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110445 - Road.  Hiked West back to Crystal Ranch Road about 1 mile.  Did 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110446 - 4-mile loop on Crystal Ranch Road.  After turning onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110447 - Road again, hiked 1 mile back to Crystal Ranch Road, then uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110448 - Cowell, turned right and hiked 1 mile to Treat.  Turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110449 - hiked .25 miles to Cuneo.  Hiked to Kaski doing 1 mile loop at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110450 - route, but walked across Kaski.  Cuneo turns into Hitchcock.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110451 - up and turned corner onto Rhoda Way and hiked up steep hill about .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110452 - miles - steeper than Rolling Woods Way.  Hiked another .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110453 - around Rhoda Way loop back to Hitchcock, then back to Kaski, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110454 - Cowell, and back to Treat, then home for 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110456 -  ..
110457 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110458 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110459 - Dinner - eggs tuna onion tomato avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110461 -  ..
110462 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110466 -         ..
110467 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110468 -  251.  180906 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110469 -               0910....BP HR..................................................... 138  73  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110470 -               0915....BP HR..................................................... 131  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110471 -               0920....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110472 -               0920... 20 16280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110473 -               0920... 80 90400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110474 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110475 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110476 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110477 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110478 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110479 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110480 -               0930....pushups...... 70 770 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110481 -           *cr 1150....miles...........  11.0  47.00  173  730 minutes temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110482 -               1500....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110483 -               1510....BP HR..................................................... 107  63  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110484 -               1515....BP HR..................................................... 100  61  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110485 -               1700... 40 36260 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110486 -             1 0000............ 10 10690  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110487 -             1 0000............ 10 10280  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110488 -               1920... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110489 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110490 -               2040... 40 15600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110491 -               2110... 1000  245000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110492 -               2230... 80 90480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110494 -  ..
110495 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110497 -  ..
110498 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110500 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110501 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110502 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110503 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110504 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110506 -  ..
110507 - Blood pressure poor and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110508 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110509 - and after hiking 16 miles yesterday. per above. ref SDS 0 WW8H  BP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110510 - good and pulse okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110512 -  ..
110513 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110514 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110515 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110516 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110517 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110518 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110519 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110521 -  ..
110522 - Weight - 179 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110523 - eating less.  After hiking 11 miles lost 5 pounds - weight 174.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110525 -  ..
110526 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110527 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110528 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110529 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110530 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110531 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110532 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110533 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110534 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110535 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110536 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110537 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110538 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110539 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110540 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110541 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110542 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110543 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110544 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110545 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110547 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110548 -                                                    Pain Level   Day
110549 -         ..
110550 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110551 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110552 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110553 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110554 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110555 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110556 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110557 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110558 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110559 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110560 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110561 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110562 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110563 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110564 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110565 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110566 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110568 -  ..
110569 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110570 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110571 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110572 - evident mild peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110573 - last night on 180905, per above. ref SDS 0 MR3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110575 -  ..
110576 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110577 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110579 -  ..
110580 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110581 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110582 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110584 -  ..
110585 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110586 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110587 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110588 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110590 -  ..
110591 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110592 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110594 -  ..
110595 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110596 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110598 -  ..
110599 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110600 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110601 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110602 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110603 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110605 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110606 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110607 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110608 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110609 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110610 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110611 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110612 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110613 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110614 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110615 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110616 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110617 -        again today.................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110619 -  ..
110620 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110621 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110623 -  ..
110624 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110625 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110627 -  ..
110628 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110629 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110631 -  ..
110632 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110634 -  ..
110635 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110636 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110637 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110638 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110639 - days ago.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110641 -  ..
110642 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110643 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110644 - normal pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110645 - Time to 1.25 miles 19 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110646 - concrete sidewalk.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110647 - hike, because of maintenance on 180830, per above. ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110648 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110649 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110650 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110651 - 4.25 66 minutes.  Continuing on Ygnacio Valley Road 1 mile felt mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110652 - peripheral neuropathy for about .25 miles.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110653 - turned corner and hike 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110654 - going 1 mile uphill.  Pain level 0.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110655 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110656 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110657 - level 0 entire distance.  Indicates PRP treatments, recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110658 - 180824, and prior treatments listed above, ref SDS 0 XXSR, effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110659 - preventing osteoarthritis.  No blisters and pain level 0 calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110660 - feet, indicating effective treatment, per above, ref SDS 0 XYSU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110661 - protection wearing Smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110662 - ref SDS 92 9O6X  Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110663 - felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110664 - entire distance.  Going downhill maintained good pace.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110665 - left knee, and right knee pain level 0.  Indicates PRP treatment for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110666 - feet and knees effective on 180824 1515. ref SDS A8 0001  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110667 - corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110668 - Hiked West back to Crystal Ranch Road about 1 mile.  Feeling blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110669 - on left foot, so hiked uphill to Cowell, turned right and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110670 - to Treat.  Turned left and hiked .25 miles to Cuneo and home for 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110671 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110673 -  ..
110674 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110675 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110676 - Dinner - potato rice hamburger onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110678 -  ..
110679 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110683 -         ..
110684 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110685 -  252.  180907 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110686 -               0640....BP HR..................................................... 134  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110687 -               0645....BP HR..................................................... 137  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110688 -               0650....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110689 -               0650... 20 16300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110690 -               0650... 80 90560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110691 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110692 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110693 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110694 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110695 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110696 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110697 -               0720....pushups...... 75 845 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110698 -           *cr 1050....miles...........  11.0  58.00  173  903 minutes temp  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110699 -               1400....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110700 -               1415....BP HR.....................................................  85  56 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110701 -               1515....BP HR.....................................................  95  60 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110702 -               1700... 40 36300 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110703 -               1850............ 10 10700  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110704 -               1850............ 10 10290  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110705 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110706 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110707 -               2010... 40 15640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110708 -               2040... 1000  246000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110709 -               2150... 80 90640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110711 -  ..
110712 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110714 -  ..
110715 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110717 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110718 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110719 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110720 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110721 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110723 -  ..
110724 - Blood pressure poor and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110725 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110726 - and after hiking 11 miles yesterday. per above. ref SDS 0 YH4L  BP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110727 - very good and pulse okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110729 -  ..
110730 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110731 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110732 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110733 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110734 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110735 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110736 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110738 -  ..
110739 - Weight - 179 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110740 - eating less.  After hiking 11 miles lost 6 pounds - weight 173.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110742 -  ..
110743 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110744 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110745 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110746 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110747 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110748 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110749 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110750 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110751 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110752 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110753 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110754 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110755 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110756 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110757 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110758 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110759 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110760 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110761 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110762 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110764 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110765 -                                                    Pain Level   Day
110766 -         ..
110767 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110768 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110769 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110770 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110771 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110772 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110773 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110774 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110775 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110776 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110777 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110778 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110779 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110780 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110781 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110782 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110783 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110785 -  ..
110786 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110787 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110788 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110789 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110790 - statins last night on 180906, per above. ref SDS 0 YH4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110792 -  ..
110793 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110794 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110796 -  ..
110797 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110798 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110799 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110801 -  ..
110802 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110803 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110804 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110805 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110807 -  ..
110808 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110809 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110811 -  ..
110812 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110813 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110815 -  ..
110816 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110817 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110818 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110819 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110820 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110822 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110823 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110824 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110825 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110826 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110827 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110828 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110829 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110830 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110831 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110832 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110833 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110834 -        again today.................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110836 -  ..
110837 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110838 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110840 -  ..
110841 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110842 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110844 -  ..
110845 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110846 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110848 -  ..
110849 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110851 -  ..
110852 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110853 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110854 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110855 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110856 - days ago.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110858 -  ..
110859 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110860 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110861 - normal pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110862 - Time to 1.25 miles 19 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110863 - concrete sidewalk.  Calluses big toes both feet pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110864 - hike, because of maintenance on 180830, per above. ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110865 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110866 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110867 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110868 - 4.25 66 minutes.  Continuing on Ygnacio Valley Road 1 mile.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110869 - 4.75 pain level 0, turned corner and hike 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110870 - Road.  Good pace going 1 mile uphill.  Pain level 0.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110871 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110872 - Woods Way faster pace today.  Left knee pain level 0 entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110873 - Right knee pain level 0 entire distance.  Indicates PRP treatments,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110874 - recently on 180824, and prior treatments listed above, ref SDS 0 XXSR,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110875 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110876 - calluses both feet, indicating effective treatment, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110877 - ref SDS 0 XYSU, and protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110878 - 180530 0726. ref SDS 92 9O6X  Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110879 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110880 - nose entire distance.  Going downhill maintained good pace.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110881 - level 0 left knee, and right knee pain level 0.  Indicates PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110882 - treatment for feet and knees effective on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110883 - Turned corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110884 - Road.  Hiked West back to Crystal Ranch Road about 1 mile.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110885 - blister on left foot, so hiked uphill to Cowell, turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110886 - hiked 1 mile to Treat.  Turned left and hiked .25 miles to Cuneo and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110887 - home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110889 -  ..
110890 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110891 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110892 - Dinner - brocolli hamburger onion cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110894 -  ..
110895 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110900 -         ..
110901 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110902 -  253.  180908 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110903 -               0700....BP HR..................................................... 125  75  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110904 -               0705....BP HR..................................................... 116  69  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110905 -               0710....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110906 -               0710... 20 16320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110907 -               0710... 80 90720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110908 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110909 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110910 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110911 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110912 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110913 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110914 -               0720....pushups...... 30+25+25   925 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110915 -           *cr 0920....miles...........  11.0  69.00  171 1074 minutes temp  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110916 -               1250....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110917 -               1255....BP HR.....................................................  90  60 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110918 -               1305....BP HR.....................................................  87  64 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110919 -               1700... 40 36340 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110920 -             1 0000............ 10 10700  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110921 -             1 0000............ 10 10290  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110922 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110923 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110924 -               1940... 40 15680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110925 -               2020... 1000  247000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110926 -               2200... 80 90800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110928 -  ..
110929 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110931 -  ..
110932 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110934 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110935 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110936 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110937 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110938 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110940 -  ..
110941 - Blood pressure very good and heart rate good today, despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110942 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110943 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110944 - ref SDS 0 1Q6I  BP very good and pulse okay after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110945 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110947 -  ..
110948 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110949 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110950 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110951 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110952 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110953 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110954 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110956 -  ..
110957 - Weight - 178 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110958 - eating less.  After hiking 11 miles lost 7 pounds - weight 171.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110960 -  ..
110961 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110962 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110963 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110964 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110965 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110966 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110967 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110968 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110969 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110970 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110971 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110972 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110973 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110974 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110975 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110976 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110977 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110978 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110979 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110980 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110982 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110983 -                                                    Pain Level   Day
110984 -         ..
110985 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110986 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110987 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110988 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110989 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110990 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110991 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110992 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110993 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110994 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110995 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110996 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110997 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110998 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110999 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111000 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111001 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111003 -  ..
111004 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111005 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111006 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111007 - evident mild peripheral neuropathy in right foot and less in left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111008 - foot, after taking statins last night on 180907, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111009 - ref SDS 0 1Q6I  Occurred within .5 miles of starting on Treat, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111010 - continued 2+ miles to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111012 -  ..
111013 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111014 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111016 -  ..
111017 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111018 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111019 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111021 -  ..
111022 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111023 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111024 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111025 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111027 -  ..
111028 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111029 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111031 -  ..
111032 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111033 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111035 -  ..
111036 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111037 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111038 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111039 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111040 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111042 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111043 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111044 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111045 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111046 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111047 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111048 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111049 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111050 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111051 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111052 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111053 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111054 -        again.......................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111055 -        again today.................... 180908, ref SDS 0 PQXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111057 -  ..
111058 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111059 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111061 -  ..
111062 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111063 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111065 -  ..
111066 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111067 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111069 -  ..
111070 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111072 -  ..
111073 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111074 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111075 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111076 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111077 - days ago.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111079 -  ..
111080 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111081 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111082 - normal pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111083 - After about .5 miles on Treat felt mild peripheral neuropathy in ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111084 - of right foot, and minor sensation in left foot.  Time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111085 - 19 minutes.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111086 - Calluses big toes both feet pain level 0 entire hike, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111087 - maintenance on 180830, per above. ref SDS 0 XUQW  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111088 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111089 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111090 - hike against Eastbound traffic flow.  Time mile 4.25 66 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111091 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111092 - turned corner and hike 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111093 - going 1 mile uphill.  No longer noticed peripheral neuropathy in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111094 - right foot.  Pain level 0.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111095 - Going down steep hill toward Rolling Woods Way faster pace today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111096 - Left knee pain level 0 entire distance.  Right knee pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111097 - entire distance.  Indicates PRP treatments, recently on 180824, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111098 - prior treatments listed above, ref SDS 0 XXSR, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111099 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111100 - indicating effective treatment, per above, ref SDS 0 XYSU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111101 - protection wearing Smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111102 - ref SDS 92 9O6X  Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111103 - felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111104 - entire distance.  Going downhill maintained good pace.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111105 - left knee, and right knee pain level 0.  Indicates PRP treatment for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111106 - feet and knees effective on 180824 1515. ref SDS A8 0001  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111107 - corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111108 - Hiked West back to Crystal Ranch Road about 1 mile.  Feeling blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111109 - on left foot, so hiked uphill to Cowell, turned right and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111110 - to Treat.  Turned left and hiked .25 miles to Cuneo and home for 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111111 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111113 -  ..
111114 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111115 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111116 - Dinner - brocolli hamburger tomato onion cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111118 -  ..
111119 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111124 -         ..
111125 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111126 -  254.  180909 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111127 -               0850....BP HR..................................................... 119  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111128 -               0855....BP HR..................................................... 114  63  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111129 -               0900....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111130 -               0900... 20 16340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111131 -               0900... 80 90880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111132 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111133 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111134 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111135 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111136 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111137 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111138 -               0920....pushups...... 25+30+25  1005 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111139 -           *cr 1145....miles...........  10.0  79.00  157 1231 minutes temp  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111140 -               1450....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111141 -               1505....BP HR.....................................................  99  64 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111142 -               1505....BP HR.....................................................  95  67 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111143 -               1640... 40 36380 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111144 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111145 -               1920............ 10 10710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111146 -               1920............ 10 10300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111147 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111148 -               2030... 40 15720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111149 -               2050... 1000  248000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111150 -               2130... 80 90960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111152 -  ..
111153 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111155 -  ..
111156 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111158 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111159 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111160 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111161 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111162 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111164 -  ..
111165 - Blood pressure very good and heart rate very good today, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111166 - taking calcium carbonate (Tums) and taking reduced Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111167 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111168 - yesterday. per above. ref SDS 0 858H  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111169 - after hiking 10 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111171 -  ..
111172 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111173 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111174 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111175 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111176 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111177 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111178 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111180 -  ..
111181 - Weight - 177 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111182 - eating less.  After hiking 10 miles lost 6 pounds - weight 171.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111184 -  ..
111185 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111186 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111187 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111188 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111189 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111190 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111191 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111192 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111193 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111194 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111195 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111196 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111197 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111198 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111199 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111200 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111201 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111202 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111203 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111204 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111206 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111207 -                                                    Pain Level   Day
111208 -         ..
111209 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111210 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111211 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111212 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111213 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111214 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111215 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111216 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111217 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111218 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111219 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111220 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111221 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111222 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111223 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111224 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111225 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111227 -  ..
111228 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111229 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111230 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111231 - evident mild peripheral neuropathy in right foot and none in left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111232 - foot, after not taking statins last night on 180907, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111233 - ref SDS 0 858H  Occurred within .5 miles of starting on Treat, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111234 - continued .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111236 -  ..
111237 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111238 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111240 -  ..
111241 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111242 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111243 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111245 -  ..
111246 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111247 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111248 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111249 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111251 -  ..
111252 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111253 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111255 -  ..
111256 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111257 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111259 -  ..
111260 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111261 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111262 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111263 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111264 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111266 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111267 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111268 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111269 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111270 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111271 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111272 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111273 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111274 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111275 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111276 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111277 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111278 -        again.......................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111279 -        again today.................... 180908, ref SDS 0 PQXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111281 -  ..
111282 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111283 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111285 -  ..
111286 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111287 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111289 -  ..
111290 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111291 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111293 -  ..
111294 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111296 -  ..
111297 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111298 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111299 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111300 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111301 - days ago.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111303 -  ..
111304 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111305 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111306 - normal pace to rehab PRP treatment on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111307 - After about .5 miles on Treat felt mild peripheral neuropathy in ball                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111308 - of right foot, and minor sensation in left foot.  Time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111309 - 19 minutes.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111310 - Calluses big toes both feet pain level 0 entire hike, because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111311 - maintenance on 180830, per above. ref SDS 0 XUQW  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111312 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111313 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111314 - hike against Eastbound traffic flow.  Time mile 4.25 66 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111315 - Continuing on Ygnacio Valley Road 1 mile.  At mile 4.75 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111316 - turned corner and hike 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111317 - going 1 mile uphill.  No longer noticed peripheral neuropathy in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111318 - right foot.  Pain level 0.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111319 - Going down steep hill toward Rolling Woods Way faster pace today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111320 - Left knee pain level 0 entire distance.  Right knee pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111321 - entire distance.  Indicates PRP treatments, recently on 180824, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111322 - prior treatments listed above, ref SDS 0 XXSR, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111323 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111324 - indicating effective treatment, per above, ref SDS 0 XYSU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111325 - protection wearing Smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111326 - ref SDS 92 9O6X  Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111327 - felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111328 - entire distance.  Going downhill maintained good pace.  Pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111329 - left knee, and right knee pain level 0.  Indicates PRP treatment for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111330 - feet and knees effective on 180824 1515. ref SDS A8 0001  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111331 - corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111332 - Hiked West back to Crystal Ranch Road about 1 mile.  Called Kathy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111333 - pick me up on Ygnacio Valley Road.  Hiked to Cowell.  Called Kathy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111334 - lost her keys, so had not yet left the house.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111335 - Cowell and hiked .5 miles.  Kathy met me half way on Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111337 -  ..
111338 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111339 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111340 - Dinner - brocolli squash lettuce sausage onion tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111341 - avocado, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111343 -  ..
111344 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111348 -         ..
111349 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111350 -  255.  180910 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111351 -               0705....BP HR..................................................... 115  65  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111352 -               0710....BP HR..................................................... 115  68  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111353 -               0720....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111354 -               0720... 20 16360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111355 -               0720... 80 91040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111356 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111357 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111358 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111359 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111360 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111361 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111362 -               0830....pushups...... 25+30+25  1005 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111363 -           *cr 1030....miles...........   5.0   5.00   84   84 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111364 -               1210....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111365 -               1425....BP HR..................................................... 116  58  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111366 -               1430....BP HR..................................................... 116  57 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111367 -               1700... 40 36420 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111368 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111369 -             1 0000............ 10 10710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111370 -             1 0000............ 10 10300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111371 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111372 -               1940... 40 15720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111373 -               2010... 1000  249000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111374 -               2050... 80 91120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111376 -  ..
111377 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111379 -  ..
111380 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111382 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111383 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111384 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111385 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111386 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111388 -  ..
111389 - Blood pressure very good and heart rate very good today, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111390 - taking calcium carbonate (Tums) and taking reduced Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111391 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111392 - yesterday. per above. ref SDS 0 NR4M  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111393 - after hiking 10 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111395 -  ..
111396 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111397 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111398 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111399 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111400 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111401 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111402 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111404 -  ..
111405 - Weight - 176 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111406 - eating less.  After hiking 10 miles lost 6 pounds - weight 171.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111408 -  ..
111409 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111410 - 0001, should reduce need for pain medication, and cannot take NSAID,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111411 - e.g., naproxen and ibuprofen, for 2 weeks.  Hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111412 - acetaminophen 325 mg after taking same yesterday, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111413 - ref SDS 0 T66F - reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111414 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111415 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111416 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111417 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111418 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111419 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111420 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111421 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111422 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111423 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111424 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111425 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111426 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111427 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111428 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111430 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111431 -                                                    Pain Level   Day
111432 -         ..
111433 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111434 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111435 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111436 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111437 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111438 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111439 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111440 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111441 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111442 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111443 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111444 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111445 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111446 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111447 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111448 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111449 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111451 -  ..
111452 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111453 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111454 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111455 - evident mild peripheral neuropathy in right foot and none in left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111456 - foot, after taking statins last night on 180907, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111457 - ref SDS 0 NR4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111459 -  ..
111460 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111461 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111463 -  ..
111464 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111465 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111466 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111468 -  ..
111469 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111470 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111471 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111472 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111474 -  ..
111475 - Right foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111476 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111478 -  ..
111479 - Left foot metatarsalgia - pain level 0 because treated with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111480 - injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111482 -  ..
111483 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111484 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111485 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111486 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111487 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111489 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111490 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111491 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111492 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111493 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111494 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111495 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111496 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111497 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111498 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111499 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111500 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111501 -        again.......................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111502 -        again today.................... 180908, ref SDS 0 PQXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111504 -  ..
111505 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111506 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111508 -  ..
111509 - Left knee - pain level 0 entire hike because PRP injections on 180824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111510 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111512 -  ..
111513 - Right knee - pain level 0 entire hike because PRP injections on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111514 - 180824. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111516 -  ..
111517 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111519 -  ..
111520 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111521 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111522 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111523 - smartwool socks, and Ammonium Lactate 12% lotion applied several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111524 - days ago.  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111526 -  ..
111527 - Lafayette Reservoir with Kathy - light hiking to rest 2 days before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111528 - Half Dome on 180912.  Hiked up and down the dam 4 and around to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111529 - first big hill.  Kathy continued.  I returned and hiked to other end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111530 - of the dam going slow.  Went up the hill and around the South end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111531 - the dam.  Continued to about mile 1, then turned around and started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111532 - back.  Encountered Claire.  We visited for about 5 mintues.  Her trip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111533 - to Europe planned for next week was cancelled for some reason.  Her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111534 - friend how made the travel arrangements, has another trip to Europe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111535 - planned for next June.  While we talked, Becky came along.  Decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111536 - join her, and we invited Claire to hike with us, but she begged off,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111537 - saying she goes to too slow for us.  Then hiked the entire distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111538 - around the dam.  Becky seems to be slowing down at age 71, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111539 - hiking the dam 3 times a day.  She explained her background as a real                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111540 - estate develope in Oakland during 1960s and 70s.  She made deals with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111541 - contractors to pave the hiking route at Lafayette Reservoir.  Becky                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111542 - was successful converting apartments into condominiums.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111543 - contemprary issue, she voted to approve moving the water fountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111544 - from the end of the dam to another location, because it cost $140K to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111545 - repair failed pipeline at the current location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111547 -  ..
111548 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111549 - Lunch - half hamburger and fries, 2 beers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111550 - Dinner - spaghetti brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111552 -  ..
111553 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111557 -         ..
111558 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111559 -  256.  180911 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111560 -               0805....BP HR..................................................... 135  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111561 -               0810....BP HR..................................................... 130  76  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111562 -               0810....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111563 -               0810... 20 16380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111564 -               0810... 80 91200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111565 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111566 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111567 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111568 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111569 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111570 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111571 -               0000....pushups......           1005 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111572 -               1600... 40 36460 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111573 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111574 -             1 0000............ 10 10710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111575 -             1 0000............ 10 10300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111576 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111577 -               0000... 40 15720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111578 -               1820... 1000  250000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111579 -               2050... 80 91280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111581 -  ..
111582 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111584 -  ..
111585 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111587 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111588 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111589 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111590 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111591 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111593 -  ..
111594 - Blood pressure very good and heart rate very good today, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111595 - taking calcium carbonate (Tums) and taking reduced Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111596 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111597 - yesterday. per above. ref SDS 0 NR4M  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111598 - after hiking 10 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111600 -  ..
111601 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111602 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111603 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111604 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111605 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111606 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111607 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111609 -  ..
111610 - Weight - 177 this morning after hiking 5 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111611 - eating less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111613 -  ..
111614 - Hiking - none, rest for Half Dome tomorrow; drove to Yosemite for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111615 - Dome, reported in another record today on 180911 0834. ref SDS A9 4F6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111617 -  ..
111618 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111619 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111620 - Dinner - spaghetti brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111622 -  ..
111623 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111628 -         ..
111629 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111630 -  257.  180912 0400..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111631 -               0810... 20 16380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111632 -               0810... 80 91200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111633 -               1500... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111634 -               1730... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111635 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111636 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111637 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111638 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111639 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111640 -               0000....pushups......           1005 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111641 -               0545....miles...........  28.0  33.00  720  804 minutes temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111642 -               2000....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111643 -               2020....BP HR.....................................................  91  62  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111644 -               1600... 40 36460 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111645 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111646 -             1 0000............ 10 10710  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111647 -             1 0000............ 10 10300  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111648 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111649 -               0000... 40 15720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111650 -               1820... 1000  250000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111651 -               2050... 80 91280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111653 -  ..
111654 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111656 -  ..
111657 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111659 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111660 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111661 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111662 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111663 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111665 -  ..
111666 - Blood pressure very good and heart rate very good today, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111667 - taking calcium carbonate (Tums) and taking reduced Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111668 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111669 - yesterday. per above. ref SDS 0 NR4M  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111670 - after hiking 10 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111672 -  ..
111673 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111674 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111675 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111676 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111677 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111678 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111679 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111681 -  ..
111682 - Weight - 177 this morning after hiking 5 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111683 - eating less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111685 -  ..
111686 - Pain medication - hydrocodone after 16 miles on Half Dome hike - PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111687 - treatment on 180824 1515, ref SDS A8 0001, reduced need for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111688 - medication, and cannot take NSAID, e.g., naproxen and ibuprofen.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111689 - 2nd hydrocodone 5mg with acetaminophen 325 mg after reaching Wood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111690 - Bride about mile 26.  Reduces risk of daily acetaminophen 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111691 - causing intoxication that lowers HDL for lab today.  Naproxex 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111692 - 250 mg seems smaller and so reduces risk getting stuck above LESV and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111693 - causing ulceration.  Seemed like Naproxen pill (NSAID which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111694 - with PRP line of care) got stuck on 180702, reported on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111695 - above. ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111696 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111697 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111698 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111699 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111700 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111701 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111702 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111703 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111704 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111705 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111707 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111708 -                                                    Pain Level   Day
111709 -         ..
111710 -        Hip left.....................................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111711 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111712 -        Knee left....................................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111713 -        Knee right...................................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111714 -        Hamstring right leg..........................   4          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111715 -        Hamstring left leg...........................   4          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111716 -        Calf left....................................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111717 -        Calf right...................................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111718 -        Tailor's Bunion left foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111719 -        Tailor's Bunion right foot...................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111720 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111721 -        Metatarsalgia left foot......................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111722 -        Metatarsalgia right foot.....................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111723 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111724 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111725 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111726 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111727 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111729 -  ..
111730 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111731 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111732 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111733 - no evident peripheral neuropathy in right foot and none in left foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111734 - after pausing statins last night on 180911, per above. ref SDS 0 6E4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111736 -  ..
111737 - Socks - 2 pair wool socks rather than smartwool for hiking Half Dome                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111738 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111740 -  ..
111741 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111742 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111743 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111745 -  ..
111746 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111747 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111748 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111749 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111751 -  ..
111752 - Right foot metatarsalgia - pain level 2 after 12 miles hiking Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111753 - Dome, because treated with PRP injections on 180824 1515. ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111754 - 0001  Took hydrocodone about mile 16.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111756 -  ..
111757 - Left foot metatarsalgia - pain level 2 after 12 miles hiking Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111758 - Dome, because treated with PRP injections on 180824 1515. ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111759 - 0001  Took hydrocodone about mile 16.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111761 -  ..
111762 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111763 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111764 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111765 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111766 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111768 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111769 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111770 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111771 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111772 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111773 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111774 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111775 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111776 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111777 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111778 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111779 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111780 -        again.......................... 180830, ref SDS 0 XUQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111781 -        again today.................... 180908, ref SDS 0 PQXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111783 -  ..
111784 - Blister left foot below big toe, reported on 180823, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111785 - ref SDS 0 WQWT  Pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111787 -  ..
111788 - Left knee - pain level 2 after 10 miles hiking Half Dome, because PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111789 - injections on 180824. ref SDS A8 0001  On the way back, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111790 - hydrocodone pill about mile 16, and took 2nd pill at Wood Bridge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111791 - about mile 26.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111793 -  ..
111794 - Right knee - pain level 2 after 10 miles hiking Half Dome, because PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111795 - injections on 180824. ref SDS A8 0001  On the way back, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111796 - hydrocodone pill about mile 16, and took 2nd pill at Wood Bridge about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111797 - mile 26.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111799 -  ..
111800 - Hip left, pain level 1 on way down from Half Dome.  Took hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111801 - pill about mile 16, and took 2nd pill at Wood Bridge about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111803 -  ..
111804 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111805 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111806 - on PRP treatment on 180620, per above, ref SDS 0 VQRR, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111807 - smartwool socks, and Ammonium Lactate 12% lotion applied several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111808 - ago.  Pain level 2 on way down from Half Dome.  Took hydrocodone pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111809 - about mile 16, and took 2nd pill at Wood Bridge about mile 26.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111811 -  ..
111812 - Yosemite hiked with Lindsey, hired from Yosemite Mountaineering School                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111813 - and Guide Services on 180813 1608. ref SDS A5 S27O  From Curry Village                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111814 - (now Half Dome Village) walked to trailhead at Happy Isles up the Mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111815 - trail to the Wood Bridge, than to Vernal Falls, to Nevada Falls.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111816 - After resting we hiked over a hill to Little Yosemite Valley.  Ate a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111817 - little something.  Hiked through Little Yosemite Valley using the edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111818 - of the sand trail.  Hiked several miles up the long switchbacks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111819 - About half mile before reaching end of long switchbacks, Lindsey found                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111820 - the small stream flow hidden by huge cut-logs on either side of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111821 - trail.  Filled water bottles at the stream.  Then continued up the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111822 - trail, reaching the sub-dome switchbacks.  After 10 minute rest, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111823 - up the long-winding subdome switchbacks.  Used cables for scaling to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111824 - the top of Half Dome.  Rested, ate and drank water.  Had difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111825 - eating, because mouth was very dry, even drinking water.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111826 - pictures.  Used cables to get down from the top.  Then hiked down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111827 - subdome switchbacks.  Stopped again to refill water bottles at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111828 - small stream, then continued down long switchbacks to Little Yosemite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111829 - Valley.  We stopped to use restroom at Ranger Station.  Hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111830 - Nevada Falls.  Took John Muir Trail back to Wood Bridge, then back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111831 - trailhead, and finaly back to Curry Village, reported in another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111832 - record on 160914 0530. ref SDS 46 0001  This was best experience                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111833 - hiking Half Dome, because past 2 months hiked 750 miles since July                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111834 - 1st.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111836 -  ..
111837 - Breakfast - ensure spaghetti few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111838 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111839 - Dinner - pizza few bites ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111841 -  ..
111842 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111847 -         ..
111848 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111849 -  258.  180913 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111850 -               0810... 20 16400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111851 -               0810... 80 91360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111852 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111853 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111854 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111855 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111856 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111857 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111858 -               0000....pushups......           1005 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111859 -               1400....miles...........   2.0  35.00   40  844 minutes temp  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111860 -               2000....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111861 -               2020....BP HR..................................................... 126  72  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111862 -               1600... 40 36460 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111863 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111864 -               1950............ 10 10720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111865 -               1950............ 10 10310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111866 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111867 -               2100... 40 15760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111868 -               2140... 1000  251000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111869 -               2340... 80 91440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111871 -  ..
111872 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111874 -  ..
111875 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111877 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111878 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111879 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111880 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111881 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111883 -  ..
111884 - Blood pressure very good and heart rate very good today, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111885 - taking calcium carbonate (Tums) and taking reduced Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111886 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111887 - yesterday. per above. ref SDS 0 NR4M  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111888 - after hiking 10 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111890 -  ..
111891 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111892 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111893 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111894 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111895 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111896 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111897 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111899 -  ..
111900 - Weight - 177 this morning after hiking 5 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111901 - eating less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111903 -  ..
111904 - Hiked around campus at VAMCSF about 2+ miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111906 -  ..
111907 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111908 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111909 - Dinner - spaghetti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111911 -  ..
111912 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111916 -         ..
111917 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111918 -  259.  180914 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111919 -               0810....BP HR..................................................... 124  66  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111920 -               0815....BP HR..................................................... 126  60  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111921 -               0820....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111922 -               0820... 20 16420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111923 -               0820... 80 91520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111924 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111925 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111926 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111927 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111928 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111929 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111930 -               0930....pushups......       20  1045 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111931 -               1810... 40 36500 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111932 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111933 -             1 0000............ 10 10720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111934 -             1 0000............ 10 10310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111935 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111936 -               1950... 40 15800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111937 -               2030... 1000  252000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111938 -               2210... 80 91600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111940 -  ..
111941 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111943 -  ..
111944 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111946 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111947 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111948 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111949 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111950 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111952 -  ..
111953 - Blood pressure very good and heart rate very good today, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111954 - taking calcium carbonate (Tums) and taking reduced Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111955 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111956 - yesterday. per above. ref SDS 0 NR4M  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111957 - after hiking 10 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111959 -  ..
111960 - BPPV - dizziness - not noticably wobbly after getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111961 - morning - big improvement from 180811, per above. ref SDS 0 TVWY  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111962 - occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111963 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111964 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111965 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111966 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111968 -  ..
111969 - Weight - 176 this morning after hiking 2 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111970 - hiking Half Dome 2 days ago on 180912, per above. ref SDS 0 V75L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111972 -  ..
111973 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111975 -  ..
111976 - Breakfast - eggs bacon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111977 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111978 - Dinner - spaghetti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111980 -  ..
111981 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111985 -         ..
111986 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111987 -  260.  180915 0610..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111988 -               0820....BP HR..................................................... 145  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111989 -               0825....BP HR..................................................... 133  73  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111990 -               0830....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111991 -               0830... 20 16420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111992 -               0830... 80 91520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111993 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111994 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111995 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111996 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111997 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111998 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111999 -               0900....pushups......       20  1065 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112000 -          * cr 1230....miles...........  16.0  51.00  251 1095 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112001 -               1655....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112002 -               1710....BP HR..................................................... 105  66 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112003 -               1715....BP HR.....................................................  97  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112004 -               1810... 40 36500 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112005 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112006 -               1930............ 10 10720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112007 -               1930............ 10 10310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112008 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112009 -               2030... 40 15800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112010 -               2050... 1000  252000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112011 -               2220... 80 91600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112013 -  ..
112014 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112016 -  ..
112017 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112019 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112020 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112021 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112022 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112023 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112025 -  ..
112026 - Blood pressure back to poor, and heart rate very good today, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112027 - taking calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112028 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112029 - per above. ref SDS 0 FH6I  BP very good and pulse okay after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112030 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112032 -  ..
112033 - BPPV - dizziness - seem little wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112034 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112035 - This occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112036 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112037 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112038 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112039 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112041 -  ..
112042 - Weight - 176 this morning after hiking 2 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112043 - hiking Half Dome 2 days ago on 180912, per above. ref SDS 0 V75L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112044 - After hiking 16 miles lost 5 pounds - weight 171.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112046 -  ..
112047 - Pain medication - none after taking 2 pills hydrocodone 5mg with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112048 - acetaminophen 325 mg (Norco), for hiking Half Dome 3 days ago 180912,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112049 - per above, ref SDS 0 V75L, - reduces risk of daily acetaminophen 1000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112050 - mg causing intoxication that lowers HDL.  Naproxex 1 pill 250 mg seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112051 - smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112052 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112053 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112054 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112055 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112056 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112057 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112058 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112059 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112060 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112061 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112062 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112063 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112064 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112066 -                                                                  %                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112067 -                                                    Pain Level   Day
112068 -         ..
112069 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112070 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112071 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112072 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112073 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112074 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112075 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112076 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112077 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112078 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112079 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112080 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112081 -        Callus big toe left foot.....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112082 -        Callus big toe right foot....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112083 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112084 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112085 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112087 -  ..
112088 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112089 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112090 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112091 - no evident peripheral neuropathy in right foot after pausing statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112092 - last night on 180914, per above. ref SDS 0 FH6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112094 -  ..
112095 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112096 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112098 -  ..
112099 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112100 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112101 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112103 -  ..
112104 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112105 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112106 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112107 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112109 -  ..
112110 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112111 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112113 -  ..
112114 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112115 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112116 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112117 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112118 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112120 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112121 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112122 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112123 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112124 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112125 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112126 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112127 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112128 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112129 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112130 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112131 -        again today.................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112133 -  ..
112134 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112135 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112136 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112138 -  ..
112139 - Left knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112140 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112142 -  ..
112143 - Right knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112144 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112146 -  ..
112147 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112149 -  ..
112150 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112151 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112152 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112153 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112155 -  ..
112156 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112157 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112158 - Calfs pain level 0.  Left foot tailor's bunion pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112159 - hike.  Metatarsalgia left foot pain level 0, right foot pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112160 - Time to 1.25 miles 17 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112161 - concrete sidewalk.  No burning sensation right foot entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112162 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112163 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112164 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112165 - 4.25 63 minutes.  Continuing on Ygnacio Valley Road.  At mile 4.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112166 - pain level 0, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112167 - Road.  Good pace going 1 mile uphill breathing through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112168 - length indicates increasing pulmonary function.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112169 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112170 - faster pace today.  Left knee pain level 0 entire distance.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112171 - knee pain level 0 entire distance.  Indicates PRP treatments most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112172 - recently on 180824 1515, ref SDS A8 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112173 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112174 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112175 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112176 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112177 - nose entire distance.  Going downhill normal pace.  Pain level 0 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112178 - knee, and right knee pain level 0.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112179 - hiked 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112180 - Ranch Road about 1 mile.  Then hiked uphill 1 mile to Cowell.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112181 - good, so increased pace uphill to Ygnacio Valley Road summit.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112182 - downhill 2 miles to Oak Grove.  Rising pain from calluses both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112183 - Hiked 1 mile to Oak Grove.  Turned corner and hiked 1 mile, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112184 - miles uphill to Cuneo.  Turned corner and hiked 1 mile loop to Kaski,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112185 - Cowell, back to Treat then home for 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112187 -  ..
112188 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112189 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112190 - Dinner - brocolli pasta tuna tomato beets - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112192 -  ..
112193 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112198 -         ..
112199 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112200 -  261.  180916 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112201 -               0945....BP HR..................................................... 128  66  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112202 -               0950....BP HR..................................................... 118  66  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112203 -               1000....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112204 -               1000... 20 16420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112205 -               1000... 80 91520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112206 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112207 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112208 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112209 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112210 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112211 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112212 -               1030....pushups......       20  1085 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112213 -               1810... 40 36500 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112214 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112215 -             1 0000............ 10 10720  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112216 -             1 0000............ 10 10310  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112217 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112218 -               2010... 40 15800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112219 -               2040... 1000  252000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112220 -               2210... 80 91600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112222 -  ..
112223 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112225 -  ..
112226 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112228 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112229 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112230 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112231 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112232 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112234 -  ..
112235 - Blood pressure good and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112236 - calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112237 - gastrointestinal drugs last night, and after hiking 16 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112238 - yesterday. per above. ref SDS 0 JE5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112240 -  ..
112241 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112242 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112243 - This occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112244 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112245 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112246 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112247 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112249 -  ..
112250 - Weight - 175 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112251 - eating less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112253 -  ..
112254 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112255 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112256 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112257 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112258 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112260 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112261 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112262 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112263 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112264 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112265 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112266 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112267 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112268 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112269 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112270 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112271 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112272 -        again today.................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112274 -  ..
112275 - Hiking - none.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112277 -  ..
112278 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112279 - Lunch - sandwich bologna tomato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112280 - Dinner - brocolli pasta tuna tomato beets - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112282 -  ..
112283 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112288 -         ..
112289 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112290 -  262.  180917 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112291 -               0815....BP HR..................................................... 129  72  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112292 -               0820....BP HR..................................................... 119  66  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112293 -               0825....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112294 -               0825... 20 16440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112295 -               0825... 80 91680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112296 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112297 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112298 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112299 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112300 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112301 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112302 -               0920....pushups......    25 25  1135 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112303 -          * cr 1155....miles...........  11.0  11.00  168  168 minutes temp  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112304 -               1520....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112305 -               1525....BP HR..................................................... 108  66 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112306 -               1530....BP HR..................................................... 111  70  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112307 -               1810... 40 36540 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112308 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112309 -               1920............ 10 10730  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112310 -               1920............ 10 10320  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112311 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112312 -               2030... 40 15840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112313 -               2040... 1000  253000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112314 -               2210... 80 91760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112316 -  ..
112317 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112319 -  ..
112320 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112322 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112323 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112324 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112325 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112326 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112328 -  ..
112329 - Blood pressure good and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112330 - carbonate (Tums) and taking normal dose Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112331 - last night, and after hiking 0 miles yesterday. per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112332 - FL6L  BP okay and pulse okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112334 -  ..
112335 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112336 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112337 - This occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112338 - ref SDS A2 VL73  This followed letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112339 - meeting for further treatment, sent on 180707. ref SDS 97 U13F  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112340 - several letters, scheduled another BPPV examination on 180725 0800,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112341 - reported record on 180718 0809. ref SDS A0 CD9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112343 -  ..
112344 - Weight - 177 this morning after hiking 0 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112345 - eating less.  After hiking 11 miles lost 4 pounds - weight 173.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112347 -  ..
112348 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112349 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112350 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112351 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112352 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112353 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112354 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112355 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112356 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112357 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112358 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112359 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112360 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112361 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112362 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112363 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112364 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112365 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112366 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112368 -                                                    Pain Level   Day
112369 -         ..
112370 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112371 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112372 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112373 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112374 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112375 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112376 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112377 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112378 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112379 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112380 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112381 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112382 -        Callus big toe left foot.....................   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112383 -        Callus big toe right foot....................   1         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112384 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112385 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112386 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112388 -  ..
112389 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112390 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112391 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112392 - no evident peripheral neuropathy in right foot after pausing statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112393 - last night on 180916, per above. ref SDS 0 FL6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112395 -  ..
112396 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112397 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112399 -  ..
112400 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112401 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112402 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112404 -  ..
112405 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112406 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112407 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112408 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112410 -  ..
112411 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112412 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112414 -  ..
112415 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112416 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112417 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112418 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112419 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112421 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112422 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112423 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112424 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112425 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112426 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112427 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112428 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112429 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112430 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112431 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112432 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112433 -        again today.................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112435 -  ..
112436 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112437 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112438 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112440 -  ..
112441 - Left knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112442 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112444 -  ..
112445 - Right knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112446 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112448 -  ..
112449 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112451 -  ..
112452 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112453 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112454 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112455 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112457 -  ..
112458 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112459 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112460 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112461 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112462 - level 0.  Sprinted to make traffic light at Cowell and at Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112463 - Road.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112464 - hiking concrete sidewalk.  No burning sensation right foot entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112465 - hike.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112466 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112467 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112468 - mile 4.25 66 minutes.  Continuing on Ygnacio Valley Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112469 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112470 - Ranch Road.  Good pace going 1 mile uphill breathing normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112471 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112472 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112473 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112474 - level 0 entire distance.  Indicates PRP treatments most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112475 - 180824 1515, ref SDS A8 0001, effective preventing osteoarthritis.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112476 - blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112477 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112478 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112479 - felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112480 - entire distance.  Going downhill normal pace.  Pain level 0 left knee,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112481 - and right knee pain level 0.  Turned corner onto Pine Hollow and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112482 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112483 - Road about 1 mile.  Then hiked uphill 1 mile to Cowell.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112484 - onto Cowell and hiked 2 miles home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112486 -  ..
112487 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112488 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112489 - Dinner - grilled cheese sandwich with bacon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112491 -  ..
112492 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112497 -         ..
112498 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112499 -  263.  180918 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112500 -               0820....BP HR..................................................... 134  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112501 -               0825....BP HR..................................................... 129  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112502 -               0830....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112503 -               0830... 20 16460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112504 -               0830... 80 91860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112505 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112506 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112507 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112508 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112509 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112510 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112511 -               0920....pushups...... 25 25 25  1215 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112512 -          * cr 1140....miles...........  11.0  22.00  172  340 minutes temp  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112513 -               1510....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112514 -               1515....BP HR.....................................................  96  64 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112515 -               1525....BP HR..................................................... 103  65  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112516 -               1810... 40 36580 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112517 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112518 -             1 0000............ 10 10730  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112519 -             1 0000............ 10 10320  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112520 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112521 -               2030... 40 15880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112522 -               2040... 1000  254000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112523 -               2210... 80 91940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112525 -  ..
112526 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112528 -  ..
112529 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112531 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112532 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112533 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112534 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112535 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112537 -  ..
112538 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112539 - carbonate (Tums) and taking normal dose Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112540 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112541 - ref SDS 0 DH8F  BP okay and pulse okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112543 -  ..
112544 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112545 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112546 - This occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112547 - ref SDS A2 VL73  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112548 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112549 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112551 -  ..
112552 - Weight - 177 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112553 - eating less.  After hiking 11 miles lost 5 pounds - weight 172.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112555 -  ..
112556 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112557 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112558 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112559 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112560 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112561 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112562 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112563 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112564 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112565 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112566 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112567 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112568 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112569 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112570 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112571 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112572 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112573 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112574 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112576 -                                                    Pain Level   Day
112577 -         ..
112578 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112579 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112580 -        Knee left....................................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112581 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112582 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112583 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112584 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112585 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112586 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112587 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112588 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112589 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112590 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112591 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112592 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112593 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112594 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112596 -  ..
112597 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112598 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112599 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112600 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112601 - last night on 180917, per above. ref SDS 0 DH8F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112603 -  ..
112604 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112605 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112607 -  ..
112608 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112609 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112610 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112612 -  ..
112613 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112614 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112615 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112616 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112618 -  ..
112619 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112620 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112622 -  ..
112623 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112624 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112625 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112626 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112627 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112629 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112630 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112631 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112632 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112633 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112634 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112635 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112636 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112637 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112638 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112639 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112640 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112641 -        again today.................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112643 -  ..
112644 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112645 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112646 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112648 -  ..
112649 - Left knee - Pain level 2 while hiking downhill on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112650 - after doing Crystal Ranch Road loop.  This ended after starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112651 - uphill on Ygnacio Valley Road toward Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112653 -  ..
112654 - Right knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112655 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112657 -  ..
112658 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112660 -  ..
112661 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112662 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112663 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112664 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112666 -  ..
112667 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112668 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112669 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112670 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112671 - level 0.  Sprinted to make traffic light at Cowell and at Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112672 - Road.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112673 - hiking concrete sidewalk.  No burning sensation right foot entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112674 - hike.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112675 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112676 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112677 - mile 4.25 65 minutes.  Continuing on Ygnacio Valley Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112678 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112679 - Ranch Road.  Good pace going 1 mile uphill breathing normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112680 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112681 - flat ground.  Going down steep hill toward Rolling Woods Way faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112682 - pace today.  Left knee pain level 0 entire distance.  Right knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112683 - level 0 entire distance.  Indicates PRP treatments most recently on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112684 - 180824 1515, ref SDS A8 0001, effective preventing osteoarthritis.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112685 - blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112686 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112687 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112688 - felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112689 - entire distance.  Going downhill normal pace.  Pain level 0 left knee,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112690 - and right knee pain level 0.  Turned corner onto Pine Hollow and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112691 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112692 - Road about 1 mile.  Left knee pain level 2 along this section.  Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112693 - hiked uphill 1 mile to Cowell.  Pain in left knee subsided rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112694 - hike.  Turned right onto Cowell and hiked 2 miles home for 11 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112695 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112697 -  ..
112698 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112699 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112700 - Dinner - grilled cheese sandwich with bacon cottage cheese hot dog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112702 -  ..
112703 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112708 -         ..
112709 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112710 -  264.  180919 0230..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112711 -               0240....BP HR..................................................... 135  84  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112712 -               0245....BP HR..................................................... 130  79  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112713 -               0250....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112714 -               0250... 20 16480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112715 -               0250... 80 92020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112716 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112717 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112718 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112719 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112720 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112721 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112722 -               0250....pushups......       25  1240 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112723 -               0400....miles...........  18.0  40.00  284  624 minutes temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112724 -               1225....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112725 -               1250....BP HR..................................................... 116  67  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112726 -               1255....BP HR..................................................... 115  70  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112727 -               1810... 40 36620 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112728 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112729 -               1900............ 10 10740  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112730 -               1900............ 10 10330  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112731 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112732 -               2030... 40 15920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112733 -               2040... 1000  255000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112734 -               2210... 80 92100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112736 -  ..
112737 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112739 -  ..
112740 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112742 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112743 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112744 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112745 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112746 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112748 -  ..
112749 - Blood pressure poor and heart rate poor today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112750 - carbonate (Tums) and taking normal dose Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112751 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112752 - ref SDS 0 GJ6L  BP okay and pulse okay after hiking 18 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112754 -  ..
112755 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112756 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112757 - This occurred today, after treatment by Doctor Wiseman on 180725 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112758 - ref SDS A2 VL73  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112759 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112760 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112762 -  ..
112763 - Weight - 176 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112764 - eating less.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112766 -  ..
112767 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112768 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112769 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112770 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112771 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112772 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112773 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112774 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112775 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112776 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112777 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112778 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112779 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112780 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112781 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112782 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112783 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112784 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112785 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112787 -                                                    Pain Level   Day
112788 -         ..
112789 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112790 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112791 -        Knee left....................................   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112792 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112793 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112794 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112795 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112796 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112797 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112798 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112799 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112800 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112801 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112802 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112803 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112804 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112805 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112807 -  ..
112808 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112809 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112810 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112811 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112812 - statins last night on 180918, per above. ref SDS 0 GJ6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112814 -  ..
112815 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112816 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112818 -  ..
112819 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112820 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112821 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112823 -  ..
112824 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112825 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112826 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112827 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112829 -  ..
112830 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112831 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112833 -  ..
112834 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112835 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112836 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112837 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112838 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112840 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112841 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112842 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112843 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112844 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112845 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112846 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112847 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112848 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112849 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112850 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112851 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112852 -        again today.................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112854 -  ..
112855 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112856 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112857 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112859 -  ..
112860 - Left knee - Pain level 2 starting hike and going downhill for nearly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112861 - 3 miles until turned corner and hiked uphill on JFK drive, going East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112862 - in the park.  Pain level 0 rest of 9 miles, including walking around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112863 - campus, and doing 5 miles at Lafayette Reservoir.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112865 -  ..
112866 - Right knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112867 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112869 -  ..
112870 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112872 -  ..
112873 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112874 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112875 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112876 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112878 -  ..
112879 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112880 - Weather was clear and cold, but no fog.  No traffic at 0400, so could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112881 - hike on asphault paved street, rather than hard concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112882 - Still dark, so could not see the ocean.  Walking downhill from the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112883 - on 42nd street, to Point Lobos both knees pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112884 - onto Point Lobos was able to go faster downhill to Cliff House, than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112885 - on prior hikes because knees and feet responding well to PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112886 - treatment on 180824 1515. ref SDS A8 0001  Continued downhill to The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112887 - Great Highway along Ocean Beach.  Hiked on flat ground along Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112888 - Highway to JFK drive.  Turned corner onto JFK and maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112889 - going slightly uphill into the park.  Left knee hurt about pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112890 - 2 from start until going uphill on JFK, about 3 miles.  At this hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112891 - 0440, still totally dark.  Could not see the road, trees, etc.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112892 - past Buffalo compound.  About mile 4 nearng Hellman Hollow surprised                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112893 - have not seen the early morning hiker going West toward the ocean.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112894 - Said hellow, and Hiking past De Young Museum beginning to encounter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112895 - few bikers going the other way (West) out toward the ocean.  Most are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112896 - on the other side of the street.  Still pain level 0 all issues.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112897 - Nearing the end of JFK Drive, crossed the street to make left turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112898 - onto Stanyon.  Hiked uphill on Stanyon several blocks to Fulton;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112899 - crossed over and hiked few more blocks downhill to Paramont street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112900 - across from Koret Health and Recreation Center, part of USF.  Touched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112901 - the wall at Ann's house - time 0538.  Turned and started back - still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112902 - pain level 0.  Morning commute traffic increasing through the park on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112903 - JFK.  Hiked on South side against traffic going West.  Passing De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112904 - Young Museum increased pace - feeling very good.  Saw early morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112905 - jogger.  Previously on 180425, he had come up behind me going East,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112906 - and said something to ally concerns. ref SDS 0 SE4I  This morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112907 - just said good to see you, and replied similarly.  Nearing 19th street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112908 - bridge, was not surprised the waterfall was not running, since it was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112909 - still only 0610.  Hiked under the bridge and past Helman Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112910 - Continuing past the Buffalow Compound crossed over to North side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112911 - JFK going with traffic.  Sun still not up, but light enough to see.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112912 - The ocean was a beautiful sight.  Hiked North toward the Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112913 - and the hospital.  Increased pace hiking up the steep hill.  At the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112914 - Cliff House turned onto Point Lobo going East.  Maintained pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112915 - up this steep part of the route well.  Felt strong continuning uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112916 - to 42nd street - never broke stride.  Turned onto 42nd street and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112917 - maintained pace going up final steep hill to the VA hospital campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112918 - Good hike with good pace all the way.  This seemed like one of fastest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112919 - hikes uphill from the ocean to the hospital.  Walked around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112920 - hospital to ROI to get results of blood test on 180913.  Walked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112921 - cafateria, then later to Audiology and Balance to meet with Bethany.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112922 - On the way home, stopped at Lafayette Reservoir and did a lap with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112923 - Bridget.  Showed her pictures of Half Dome hike.  Could not do entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112924 - lap, because the path is being re-paved.  Walked about 2/3rds, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112925 - had to return, making distance about 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112927 -  ..
112928 - Breakfast - donut milk at VA after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112929 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112930 - Dinner - pancake egg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112932 -  ..
112933 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112937 -         ..
112938 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112939 -  265.  180920 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112940 -               0710....BP HR..................................................... 147  79  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112941 -               0715....BP HR..................................................... 131  78  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112942 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112943 -               0720... 20 16500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112944 -               0720... 80 92180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112945 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112946 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112947 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112948 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112949 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112950 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112951 -               0900....pushups...... 25 30 25  1320 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112952 -          * cr 1055....miles...........  11.0  51.00  167  791 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112953 -               1420....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112954 -               1440....BP HR.....................................................  99  70 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112955 -               1255....BP HR.....................................................  96  67  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112956 -               1700... 40 36660 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112957 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112958 -             1 0000............ 10 10740  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112959 -             1 0000............ 10 10330  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112960 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112961 -               2030... 40 15960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112962 -               2040... 1000  256000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112963 -               2210... 80 92260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112965 -  ..
112966 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112968 -  ..
112969 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112971 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112972 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112973 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112974 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112975 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112977 -  ..
112978 - Blood pressure okay and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112979 - calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112980 - gastrointestinal drugs last night, and after hiking 18 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112981 - yesterday. per above. ref SDS 0 Z87N  BP okay and pulse okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112982 - hiking 18 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112984 -  ..
112985 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112986 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112987 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112988 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112989 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112990 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112992 -  ..
112993 - Weight - 177 this morning after hiking 18 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112994 - eating pancake and eggs yesterday.  After hiking 11 miles lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112995 - pounds to 172.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112997 -  ..
112998 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112999 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113000 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113001 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113002 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113003 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113004 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113005 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113006 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113007 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113008 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113009 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113010 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113011 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113012 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113013 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113014 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113015 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113016 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113018 -                                                    Pain Level   Day
113019 -         ..
113020 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113021 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113022 -        Knee left....................................   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113023 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113024 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113025 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113026 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113027 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113028 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113029 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113030 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113031 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113032 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113033 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113034 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113035 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113036 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113038 -  ..
113039 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113040 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113041 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113042 - evident peripheral neuropathy in right foot for about .5 miles after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113043 - taking statins last night on 180919, per above. ref SDS 0 Z87N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113045 -  ..
113046 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113047 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113049 -  ..
113050 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113051 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113052 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113054 -  ..
113055 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113056 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113057 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113058 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113060 -  ..
113061 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113062 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113064 -  ..
113065 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113066 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113067 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113068 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113069 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113071 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113072 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113073 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113074 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113075 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113076 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113077 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113078 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113079 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113080 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113081 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113082 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113083 -        again today.................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113085 -  ..
113086 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113087 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113088 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113090 -  ..
113091 - Left knee - pain level 0 for 4 miles, then pain level 2 on Ygnavio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113092 - Valley Road for about a mile until turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113093 - Road.  Going donwhill left knee sort of buckled twice, but recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113094 - okay, no lasting pain.  Same thing going downhill on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113095 - Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113097 -  ..
113098 - Right knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113099 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113101 -  ..
113102 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113104 -  ..
113105 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113106 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113107 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113108 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113110 -  ..
113111 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113112 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113113 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113114 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113115 - level 0.  Sprinted to make traffic light at Cowell and at Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113116 - Road.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113117 - hiking concrete sidewalk.  No burning sensation right foot entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113118 - hike.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113119 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113120 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113121 - mile 4.25 66 minutes.  Continuing on Ygnacio Valley Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113122 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113123 - Ranch Road.  Good pace going 1 mile uphill breathing normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113124 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113125 - flat ground.  Going down steep hill toward Rolling Woods Way normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113126 - pace, today.  Left knee buckled twice but no continuing pain.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113127 - knee pain level 0 entire distance.  Indicates PRP treatments most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113128 - recently on 180824 1515, ref SDS A8 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113129 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113130 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113131 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113132 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113133 - nose entire distance.  Going downhill normal pace.  Left knee buckled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113134 - once, but no continuing pain.  Right knee pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113135 - onto Pine Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113136 - West back to Crystal Ranch Road about 1 mile.  Then hiked uphill 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113137 - mile to Cowell.  Turned right onto Cowell and hiked 2 miles home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113138 - 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113140 -  ..
113141 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113142 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113143 - Dinner - brocolli onion salmon tomato lettuce celery avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113145 -  ..
113146 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113150 -         ..
113151 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113152 -  266.  180921 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113153 -               0930....BP HR..................................................... 127  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113154 -               0935....BP HR..................................................... 113  62  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113155 -               0940....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113156 -               0940... 20 16520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113157 -               0940... 80 92340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113158 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113159 -               0000... Naproxen (Aleve) 1 pill 250  63100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113160 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113161 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113162 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113163 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113164 -               1030....pushups...... 25 30 25  1400 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113165 -          * cr 1135....miles...........  11.0  62.00  171  962 minutes temp  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113166 -               1600....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113167 -               1615....BP HR.....................................................  94  65 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113168 -               1620....BP HR.....................................................  93  66 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113169 -               1700... 40 36700 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113170 -               1900............ 10 10750  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113171 -               1900............ 10 10340  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113172 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113173 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113174 -               2010... 40 16000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113175 -               2050... 1000  257000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113176 -               2230... 80 92420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113177 -               2310... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113179 -  ..
113180 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113182 -  ..
113183 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113185 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113186 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113187 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113188 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113189 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113191 -  ..
113192 - Blood pressure very good and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113193 - calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113194 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113195 - yesterday. per above. ref SDS 0 164N  BP good and pulse okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113196 - hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113198 -  ..
113199 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113200 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113201 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113202 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113203 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113204 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113206 -  ..
113207 - Weight - 177 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113208 - reduced eating yesterday.  After hiking 11 miles lost 7 pounds to 170,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113209 - last time at 170 was 2 years ago on 161104, see case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113210 - 0700. ref SDS 37 YV7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113212 -  ..
113213 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113214 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113215 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113216 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113217 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113218 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113219 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113220 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113221 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113222 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113223 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113224 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113225 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113226 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113227 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113228 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113229 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113230 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113231 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113233 -                                                    Pain Level   Day
113234 -         ..
113235 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113236 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113237 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113238 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113239 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113240 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113241 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113242 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113243 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113244 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113245 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113246 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113247 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113248 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113249 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113250 -        Burning sensation right foot.................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113251 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113253 -  ..
113254 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113255 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113256 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113257 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113258 - statins last night on 180920, per above. ref SDS 0 164N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113260 -  ..
113261 - Legs 6 hours after hike feel anxious like oxygen nutrients depleted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113262 - Took hydrocodone (Norco) in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113264 -  ..
113265 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113266 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113268 -  ..
113269 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113270 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113271 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113273 -  ..
113274 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113275 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113276 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113277 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113279 -  ..
113280 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113281 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113283 -  ..
113284 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113285 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113286 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113287 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113288 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113290 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113291 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113292 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113293 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113294 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113295 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113296 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113297 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113298 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113299 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113300 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113301 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113302 -        again today.................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113304 -  ..
113305 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113306 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113307 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113309 -  ..
113310 - Left knee - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113312 -  ..
113313 - Right knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113314 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113316 -  ..
113317 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113319 -  ..
113320 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113321 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113322 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113323 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113325 -  ..
113326 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113327 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113328 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113329 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113330 - level 0.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113331 - hiking concrete sidewalk.  No burning sensation right foot entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113332 - hike.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113333 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113334 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113335 - mile 4.25 66 minutes.  Continuing on Ygnacio Valley Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113336 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113337 - Ranch Road.  Good pace going 1 mile uphill breathing normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113338 - indicates increasing pulmonary function.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113339 - flat ground.  Going down steep hill toward Rolling Woods Way normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113340 - pace, today.  Left and right knees pain level 0 entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113341 - Indicates PRP treatments most recently on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113342 - 0001, effective preventing osteoarthritis.  No blisters and pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113343 - 0 calluses both feet, indicating effective protection wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113344 - Smartwool socks received on 180530 0726, ref SDS 92 9O6X, Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113345 - Rolling Woods Way.  Going up steep hill felt strong - increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113346 - for .3 miles breathing through nose entire distance.  Going downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113347 - normal pace.  Left and right knee pain level 0.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113348 - Pine Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113349 - back to Crystal Ranch Road about 1 mile.  Then hiked uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113350 - Cowell.  Turned right onto Cowell and hiked 2 miles home for 11 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113351 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113353 -  ..
113354 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113355 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113356 - Dinner - brocolli onion salmon tomato lettuce celery avocado, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113357 - cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113359 -  ..
113360 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113364 -         ..
113365 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113366 -  267.  180922 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113367 -               0815....BP HR..................................................... 125  66  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113368 -               0820....BP HR..................................................... 111  63  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113369 -               0825....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113370 -               0825... 20 16540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113371 -               0825... 80 92420 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113372 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113373 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113374 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113375 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113376 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113377 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113378 -               0930....pushups......    30 30  1460 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113379 -          * cr 1035....miles...........  14.0  76.00  218 1180 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113380 -               1420....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113381 -               1425....BP HR.....................................................  84  58 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113382 -               1430....BP HR.....................................................  90  67 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113383 -               1510... 40 36740 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113384 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113385 -             1 0000............ 10 10750  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113386 -             1 0000............ 10 10340  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113387 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113388 -               1950... 40 16040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113389 -               2030... 1000  258000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113390 -               2205... 80 92500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113391 -               0000... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113393 -  ..
113394 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113396 -  ..
113397 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113399 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113400 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113401 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113402 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113403 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113405 -  ..
113406 - Blood pressure very good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113407 - calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113408 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113409 - yesterday. per above. ref SDS 0 ZN6I  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113410 - after hiking 14 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113412 -  ..
113413 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113414 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113415 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113416 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113417 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113418 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113420 -  ..
113421 - Weight - 177 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113422 - reduced eating yesterday.  After hiking 14 miles lost 9 pounds to 168,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113423 - last time at 168 was 2 years ago on 161015, see case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113424 - 0700. ref SDS 37 377N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113426 -  ..
113427 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113428 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113429 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113430 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113431 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113432 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113433 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113434 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113435 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113436 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113437 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113438 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113439 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113440 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113441 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113442 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113443 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113444 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113445 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113447 -                                                    Pain Level   Day
113448 -         ..
113449 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113450 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113451 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113452 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113453 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113454 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113455 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113456 -        Tailor's Bunion left foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113457 -        Tailor's Bunion right foot...................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113458 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113459 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113460 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113461 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113462 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113463 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113464 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113465 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113467 -  ..
113468 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113469 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113470 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113471 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113472 - last night on 180921, per above. ref SDS 0 ZN6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113474 -  ..
113475 - Legs 6 hours after hike feel anxious like oxygen nutrients depleted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113476 - Took hydrocodone (Norco) in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113478 -  ..
113479 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113480 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113482 -  ..
113483 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113484 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113485 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113487 -  ..
113488 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113489 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113490 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113491 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113493 -  ..
113494 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113495 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113497 -  ..
113498 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113499 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113500 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113501 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113502 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113504 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113505 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113506 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113507 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113508 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113509 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113510 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113511 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113512 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113513 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113514 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113515 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113516 -        again today.................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113518 -  ..
113519 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113520 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113521 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113523 -  ..
113524 - Left knee - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113526 -  ..
113527 - Right knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113528 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113530 -  ..
113531 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113533 -  ..
113534 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113535 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113536 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113537 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113539 -  ..
113540 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113541 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113542 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113543 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113544 - level 0.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113545 - hiking concrete sidewalk.  No burning sensation right foot entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113546 - hike.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113547 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113548 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113549 - mile 4.25 63 minutes.  Continuing on Ygnacio Valley Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113550 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113551 - Ranch Road.  Good pace going 1 mile uphill breathing only through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113552 - nose indicates increasing pulmonary function.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113553 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113554 - normal pace, today.  Left and right knees pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113555 - distance.  Indicates PRP treatments most recently on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113556 - ref SDS A8 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113557 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113558 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113559 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113560 - increased pace for .3 miles breathing through nose entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113561 - Going downhill normal pace.  Left and right knee pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113562 - corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113563 - Hiked West back to Crystal Ranch Road about 1 mile.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113564 - hiked another partial 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113565 - going 1 mile uphill; continued on flat grade to Rollinw Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113566 - Turned onto Rolling Woods Way and hiked .3 miles up steep hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113567 - Continued downhill to Pine Hollow.  Turned right going South and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113568 - 2 miles uphill to Mitchell Canyon Road.  Turned Left and hiked .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113569 - miles on Mitchell Canyon Road.  Called Kathy to meet at Mudville Inn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113570 - for late lunch.  Turned right onto Clayton.  Hiked 1.5 miles to Marsh                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113571 - Road.  Turned right and hiked .5 miles to Mudville Inn.  Total hike 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113572 - miles.  Ordered beer waiting for Kathy to arrive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113574 -  ..
113575 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113576 - Lunch - few fries beer too tired to heat half hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113577 - Dinner - half hamburger from lunch - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113579 -  ..
113580 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113585 -         ..
113586 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113587 -  268.  180923 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113588 -               0815....BP HR..................................................... 108  63  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113589 -               0820....BP HR..................................................... 110  61  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113590 -               0825....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113591 -               0825... 20 16560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113592 -               0825... 80 92580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113593 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113594 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113595 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113596 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113597 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113598 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113599 -               0855....pushups......    30 30  1520 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113600 -          * cr 0920....miles...........  13.0  89.00  201 1381 minutes temp  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113601 -               1320....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113602 -               1325....BP HR..................................................... 104  72 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113603 -               1230....BP HR.....................................................  97  65 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113604 -               1510... 40 36780 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113605 -               1930............ 10 10760  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113606 -               1930............ 10 10350  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113607 -               1940... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113608 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113609 -               2050... 40 16080 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113610 -               2120... 1000  259000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113611 -               2225... 80 92660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113612 -               0000... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113614 -  ..
113615 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113617 -  ..
113618 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113620 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113621 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113622 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113623 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113624 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113626 -  ..
113627 - Blood pressure very good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113628 - calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113629 - gastrointestinal drugs last night, and after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113630 - yesterday. per above. ref SDS 0 1G6J  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113631 - after hiking 14 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113633 -  ..
113634 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113635 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113636 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113637 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113638 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113639 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113641 -  ..
113642 - Weight - 175 this morning after hiking 14 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113643 - reduced eating yesterday.  After hiking 14 miles lost 9 pounds to 168,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113644 - last time at 168 was 2 years ago on 161015, see case study on 160101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113645 - 0700. ref SDS 37 377N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113647 -  ..
113648 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113649 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113650 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113651 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113652 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113653 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113654 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113655 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113656 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113657 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113658 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113659 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113660 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113661 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113662 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113663 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113664 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113665 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113666 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113668 -                                                    Pain Level   Day
113669 -         ..
113670 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113671 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113672 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113673 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113674 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113675 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113676 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113677 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113678 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113679 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113680 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113681 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113682 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113683 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113684 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113685 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113686 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113688 -  ..
113689 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113690 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113691 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113692 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113693 - statins last night on 180922, per above. ref SDS 0 1G6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113695 -  ..
113696 - Legs 6 hours after hike feel anxious like oxygen nutrients depleted,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113697 - but only minor, so did not take hydrocodone (Norco) in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113698 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113700 -  ..
113701 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113702 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113704 -  ..
113705 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113706 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113707 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113709 -  ..
113710 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113711 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113712 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113713 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113715 -  ..
113716 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113717 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113719 -  ..
113720 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113721 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113722 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113723 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113724 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113726 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113727 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113728 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113729 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113730 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113731 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113732 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113733 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113734 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113735 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113736 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113737 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113738 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113739 -        again today.................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113741 -  ..
113742 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113743 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113744 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113746 -  ..
113747 - Left knee - pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113749 -  ..
113750 - Right knee - Pain level 0 entire hike after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113751 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113753 -  ..
113754 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113756 -  ..
113757 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113758 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113759 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113760 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113762 -  ..
113763 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113764 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113765 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113766 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113767 - level 0.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113768 - hiking concrete sidewalk.  No burning sensation right foot entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113769 - hike.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113770 - mile 3.5, then switched to asphault roadway.  About mile 3.8 crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113771 - from North to South Side to hike against Eastbound traffic flow.  Time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113772 - mile 4.25 63 minutes.  Continuing on Ygnacio Valley Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113773 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113774 - Ranch Road.  Good pace going 1 mile uphill breathing only through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113775 - nose indicates increasing pulmonary function.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113776 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113777 - normal pace, today.  Left and right knees pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113778 - distance.  Indicates PRP treatments most recently on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113779 - ref SDS A8 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113780 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113781 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113782 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113783 - increased pace for .3 miles breathing through nose entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113784 - Going downhill normal pace.  Left and right knee pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113785 - corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113786 - Hiked West back to Crystal Ranch Road about 1 mile.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113787 - going uphill on Ygnacio Valley Road past Cowell to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113788 - Maintained pace downhill 2 miles to Oak Grove.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113789 - Oak Grove.  Called Kathy to meet at corner of Treat.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113790 - Treat.  Kathy drove us home.  13 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113792 -  ..
113793 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113794 - Lunch - half sandwich bologna tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113795 - Dinner - lettuce borcolli onion tomato asparagus avocado celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113797 -  ..
113798 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113802 -         ..
113803 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113804 -  269.  180924 0600..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113805 -               0740....BP HR..................................................... 134  67  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113806 -               0745....BP HR..................................................... 129  73  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113807 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113808 -               0750... 20 16580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113809 -               0750... 80 92740 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113810 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113811 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113812 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113813 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113814 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113815 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113816 -               1500... 40 36820 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113817 -             1 0000............ 10 10760  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113818 -             1 0000............ 10 10350  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113819 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113820 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113821 -               1730... 40 16120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113822 -               1820... 1000  260000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113823 -               1950... 80 92820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113824 -               0000... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113826 -  ..
113827 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113829 -  ..
113830 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113832 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113833 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113834 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113835 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113836 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113838 -  ..
113839 - Blood pressure okay and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113840 - carbonate (Tums) and taking normal dose Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113841 - last night, and after hiking 13 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113842 - ref SDS 0 WI4K  BP very good and pulse okay after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113843 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113845 -  ..
113846 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113847 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113848 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113849 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113850 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113851 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113853 -  ..
113854 - Weight - 176 this morning after hiking 13 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113855 - increased eating yesterday.  After hiking 0 miles gained 3 pounds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113856 - 179.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113858 -  ..
113859 - Hiking - none, rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113861 -  ..
113862 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113863 - Lunch - half sandwich bologna tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113864 - Dinner - lettuce borcolli onion tomato asparagus avocado celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113865 - donut, milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113867 -  ..
113868 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113872 -         ..
113873 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113874 -  270.  180925 0215..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113875 -               0220....BP HR..................................................... 149  78  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113876 -               0225....BP HR..................................................... 132  70  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113877 -               0230....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113878 -               0230... 20 16600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113879 -               0720... 80 92900 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113880 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113881 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113882 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113883 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113884 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113885 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113886 -               0250....pushups......       25  1570 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113887 -          * cr 0405....miles...........  12.0  12.00  184  184 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113888 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113889 -               0720....BP HR..................................................... 114  68 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113890 -               0725....BP HR..................................................... 108  65  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113891 -               1630... 40 36860 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113892 -               1900............ 10 10770  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113893 -               1900............ 10 10360  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113894 -               1940... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113895 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113896 -               2050... 40 16160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113897 -               2110... 1000  261000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113898 -               2120... 80 92980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113899 -               0000... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113901 -  ..
113902 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113904 -  ..
113905 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113907 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113908 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113909 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113910 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113911 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113913 -  ..
113914 - Blood pressure okay and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113915 - carbonate (Tums) and taking normal dose Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113916 - last night, and after hiking 0 miles yesterday. per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113917 - WQ6H  BP okay and pulse okay after hiking 12 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113919 -  ..
113920 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113921 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113922 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113923 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113924 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113925 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113927 -  ..
113928 - Weight - 179 this morning after hiking 0 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113929 - increased eating yesterday.  After hiking 12 miles lost 5 pounds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113930 - 174.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113932 -  ..
113933 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113934 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113935 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113936 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113937 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113938 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113939 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113940 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113941 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113942 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113943 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113944 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113945 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113946 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113947 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113948 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113949 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113950 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113951 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113953 -                                                    Pain Level   Day
113954 -         ..
113955 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113956 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113957 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113958 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113959 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113960 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113961 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113962 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113963 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113964 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113965 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113966 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113967 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113968 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113969 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113970 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113971 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113973 -  ..
113974 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113975 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113976 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113977 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113978 - statins last night on 180924, per above. ref SDS 0 WQ6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113980 -  ..
113981 - Legs 6 hours after hike did not feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113982 - depleted, but only minor, so did not take hydrocodone (Norco) in order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113983 - to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113985 -  ..
113986 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113987 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113989 -  ..
113990 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113991 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113992 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113994 -  ..
113995 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113996 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113997 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113998 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114000 -  ..
114001 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114002 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114004 -  ..
114005 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114006 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114007 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114008 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114009 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114011 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114012 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114013 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114014 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114015 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114016 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114017 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114018 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114019 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114020 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114021 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114022 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114023 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114024 -        again today.................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114026 -  ..
114027 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114028 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114029 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114031 -  ..
114032 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114033 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114035 -  ..
114036 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114037 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114039 -  ..
114040 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114042 -  ..
114043 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114044 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114045 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114046 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114048 -  ..
114049 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114050 - Weather was clear and cold, but no fog.  No traffic at 0400, so could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114051 - hike on asphault paved street, rather than hard concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114052 - Still dark, so could not see the ocean.  Walking downhill from the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114053 - on 42nd street, to Point Lobos both knees pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114054 - onto Point Lobos was able to go faster downhill to Cliff House, than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114055 - on prior hikes because knees and feet responding well to PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114056 - treatment on 180824 1515. ref SDS A8 0001  Continued downhill to The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114057 - Great Highway along Ocean Beach.  Hiked on flat ground along Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114058 - Highway to JFK drive.  Turned corner onto JFK and maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114059 - going slightly uphill into the park.  At this hour 0440, still totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114060 - dark.  Could not see the road, trees, etc.  Hiked past Buffalo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114061 - compound.  About mile 4 nearng Hellman Hollow surprised have not seen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114062 - the early morning hiker going West toward the ocean.  Hiking past De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114063 - Young Museum beginning to encounter few bikers going the other way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114064 - (West) out toward the ocean.  Most are on the other side of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114065 - street.  About this location raced an older man jogging slowly East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114066 - the other (North) side of the street.  He passed me, but seemed like I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114067 - could keep up, so increased pace, and passed him in about 300 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114068 - After than he was gone, but must have turned off JFK somewhere - could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114069 - not in the dark.  Nearing the end of JFK Drive, crossed the street to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114070 - make left turn onto Stanyon.  Hiked uphill on Stanyon several blocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114071 - to Fulton; crossed over and hiked few more blocks downhill to Paramont                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114072 - street across from Koret Health and Recreation Center, part of USF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114073 - Touched the wall at Ann's house - time 0538.  Turned and started back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114074 - - still pain level 0.  Morning commute traffic increasing through the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114075 - park on JFK.  Hiked on South side against traffic going West.  Passing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114076 - De Young Museum increased pace - feeling very good.  Nearing 19th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114077 - street bridge, was not surprised the waterfall was not running, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114078 - it was still only 0610.  Hiked under the bridge and past Helman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114079 - Hollow.  Continuing past the Buffalow Compound crossed over to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114080 - side of JFK going with traffic.  Sun still not up, but light enough to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114081 - see.  The ocean was a beautiful sight.  Hiked North toward the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114082 - House and the hospital.  Increased pace hiking up the steep hill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114083 - the Cliff House turned onto Point Lobo going East.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114084 - hiking up this steep part of the route.  Felt strong continuning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114085 - uphill to 42nd street - never broke stride.  Turned onto 42nd street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114086 - and maintained pace going up final steep hill to the VA hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114087 - campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114089 -  ..
114090 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114091 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114092 - Dinner - lettuce asparagus onion tomato brocolli tuna avocado, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114093 - milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114095 -  ..
114096 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114100 -         ..
114101 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114102 -  271.  180926 0815..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114103 -               0905....BP HR..................................................... 132  67  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114104 -               0910....BP HR..................................................... 124  68  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114105 -               0915....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114106 -               0915... 20 16620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114107 -               0915... 80 93060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114108 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114109 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114110 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114111 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114112 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114113 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114114 -               0320....pushups......       30  1600 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114115 -          * cr 0430....miles...........  12.0  24.00  185  369 minutes temp  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114116 -               1450....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114117 -               1455....BP HR.....................................................  99  65 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114118 -               1500....BP HR..................................................... 100  68 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114119 -               1600... 40 36860 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114120 -             1 0000............ 10 10770  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114121 -             1 0000............ 10 10360  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114122 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114123 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114124 -               1910... 40 16200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114125 -               2020... 1000  262000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114126 -               2050... 80 93140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114127 -               0000... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114129 -  ..
114130 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114132 -  ..
114133 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114135 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114136 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114137 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114138 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114139 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114141 -  ..
114142 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114143 - carbonate (Tums) and taking normal dose Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114144 - last night, and after hiking 12 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114145 - ref SDS 0 UB3I  BP okay and pulse okay after hiking 12 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114147 -  ..
114148 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114149 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114150 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114151 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114152 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114153 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114155 -  ..
114156 - Weight - 179 this morning after hiking 12 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114157 - increased eating yesterday.  After hiking 12 miles lost 7 pounds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114158 - 172.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114160 -  ..
114161 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114162 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114163 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114164 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114165 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114166 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114167 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114168 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114169 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114170 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114171 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114172 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114173 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114174 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114175 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114176 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114177 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114178 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114179 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114181 -                                                    Pain Level   Day
114182 -         ..
114183 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114184 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114185 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114186 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114187 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114188 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114189 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114190 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114191 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114192 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114193 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114194 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114195 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114196 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114197 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114198 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114199 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114201 -  ..
114202 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114203 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114204 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114205 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114206 - last night on 180925, per above. ref SDS 0 UB3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114208 -  ..
114209 - Legs 6 hours after hike feel anxious like oxygen nutrients depleted,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114210 - but only minor, so did not take hydrocodone (Norco) in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114211 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114213 -  ..
114214 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114215 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114217 -  ..
114218 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114219 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114220 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114222 -  ..
114223 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114224 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114225 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114226 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114228 -  ..
114229 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114230 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114232 -  ..
114233 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114234 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114235 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114236 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114237 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114239 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114240 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114241 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114242 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114243 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114244 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114245 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114246 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114247 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114248 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114249 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114250 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114251 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114252 -        again today.................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114254 -  ..
114255 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114256 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114257 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114259 -  ..
114260 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114261 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114263 -  ..
114264 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114265 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114267 -  ..
114268 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114270 -  ..
114271 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114272 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114273 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114274 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114276 -  ..
114277 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114278 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114279 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114280 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114281 - level 0.  Time to 1.25 miles 18 minutes.  Cellphone would not display                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114282 - time, so crossed Clayton and visited Verizon in the shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114283 - Sahl showed how to restore the display.  Hiked back to Clayton and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114284 - continued hike.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114285 - No burning sensation right foot entire hike.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114286 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114287 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114288 - hike against Eastbound traffic flow.  Time mile 4.25 63 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114289 - Continuing on Ygnacio Valley Road.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114290 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114291 - going 1 mile uphill breathing only through nose indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114292 - increasing pulmonary function.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114293 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114294 - today.  Left and right knees pain level 0 entire distance.  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114295 - PRP treatments most recently on 180824 1515, ref SDS A8 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114296 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114297 - calluses both feet, indicating effective protection wearing Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114298 - socks received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114299 - Woods Way.  Going up steep hill felt strong - increased pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114300 - miles breathing through nose entire distance.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114301 - pace.  Left and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114302 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114303 - to Crystal Ranch Road about 1 mile.  Increased pace going uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114304 - Ygnacio Valley Road and turned onto Cowell.  Hiked 2 miles home for 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114305 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114307 -  ..
114308 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114309 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114310 - Dinner - lettuce asparagus onion tomato brocolli tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114312 -  ..
114313 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114317 -         ..
114318 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114319 -  272.  180927 0245..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114320 -               0300....BP HR..................................................... 136  77  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114321 -               0305....BP HR..................................................... 125  75  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114322 -               0310....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114323 -               0310... 20 16640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114324 -               0900... 80 93220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114325 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114326 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114327 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114328 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114329 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114330 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114331 -               0320....pushups......       30  1600 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114332 -               0430....miles...........   2.0  26.00   38  407 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114333 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114334 -               0725....BP HR..................................................... 142  82  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114335 -               0727....BP HR..................................................... 129  74  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114336 -               1600... 40 36900 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114337 -               1900............ 10 10780  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114338 -               1900............ 10 10370  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114339 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114340 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114341 -               2040... 40 16240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114342 -               2100... 1000  263000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114343 -               2200... 80 93300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114344 -               0000... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114346 -  ..
114347 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114349 -  ..
114350 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114352 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114353 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114354 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114355 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114356 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114358 -  ..
114359 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114360 - carbonate (Tums) and taking normal dose Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114361 - last night, and after hiking 12 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114362 - ref SDS 0 UB3I  BP okay and pulse okay after hiking 12 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114364 -  ..
114365 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114366 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114367 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114368 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114369 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114370 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114372 -  ..
114373 - Weight - 178 this morning after hiking 12 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114374 - increased eating yesterday.  After hiking 12 miles lost 7 pounds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114375 - 172.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114377 -  ..
114378 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114379 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114380 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114381 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114382 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114383 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114384 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114385 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114386 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114387 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114388 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114389 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114390 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114391 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114392 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114393 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114394 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114395 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114396 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114398 -                                                    Pain Level   Day
114399 -         ..
114400 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114401 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114402 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114403 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114404 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114405 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114406 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114407 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114408 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114409 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114410 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114411 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114412 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114413 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114414 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114415 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114416 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114418 -  ..
114419 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114420 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114421 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114422 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114423 - last night on 180925, per above. ref SDS 0 UB3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114425 -  ..
114426 - Legs 6 hours after hike feel anxious like oxygen nutrients depleted,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114427 - but only minor, so did not take hydrocodone (Norco) in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114428 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114430 -  ..
114431 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114432 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114434 -  ..
114435 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114436 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114437 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114439 -  ..
114440 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114441 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114442 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114443 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114445 -  ..
114446 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114447 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114449 -  ..
114450 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114451 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114452 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114453 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114454 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114456 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114457 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114458 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114459 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114460 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114461 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114462 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114463 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114464 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114465 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114466 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114467 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114468 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114469 -        again today.................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114471 -  ..
114472 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114473 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114474 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114476 -  ..
114477 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114478 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114480 -  ..
114481 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114482 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114484 -  ..
114485 - Hip left, pain level 0 entire hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114487 -  ..
114488 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114489 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114490 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114491 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114493 -  ..
114494 - San Francisco - couldn't hike this morning, because cold, wet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114495 - windy with heavy fog at the VA.  Did 2 miles walking around campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114497 -  ..
114498 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114499 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114500 - Dinner - lettuce asparagus onion tomato brocolli tuna avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114502 -  ..
114503 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114509 -         ..
114510 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114511 -  273.  180928 0540..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114512 -               0715....BP HR..................................................... 148  82  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114513 -               0720....BP HR..................................................... 145  78  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114514 -               0725....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114515 -               0725... 20 16640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114516 -               0725... 80 93220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114517 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114518 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114519 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114520 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114521 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114522 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114523 -               0000....pushups......           1600 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114524 -               1600... 40 36900 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114525 -             1 0000............ 10 10780  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114526 -             1 0000............ 10 10370  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114527 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114528 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114529 -               1950... 40 16240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114530 -               2030... 1000  263000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114531 -               2220... 80 93300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114532 -               0000... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114534 -  ..
114535 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114537 -  ..
114538 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114540 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114541 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114542 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114543 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114544 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114546 -  ..
114547 - Blood pressure poor and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114548 - calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114549 - gastrointestinal drugs last night, and after hiking 2 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114550 - per above. ref SDS 0 DF7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114552 -  ..
114553 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114554 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114555 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114556 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114557 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114558 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114560 -  ..
114561 - Weight - 180 this morning after hiking 2 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114562 - increased eating yesterday.  After hiking 12 miles lost 7 pounds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114563 - 172.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114565 -  ..
114566 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114568 -  ..
114569 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114570 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114571 - Dinner - macaroni cheese asparagus onion hamburger tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114573 -  ..
114574 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114578 -         ..
114579 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114580 -  274.  180929 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114581 -               0955....BP HR..................................................... 135  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114582 -               1000....BP HR..................................................... 131  80  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114583 -               1005....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114584 -               1010... 20 16660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114585 -               1010... 80 93380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114586 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114587 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114588 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114589 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114590 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114591 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114592 -               1030....pushups...... 25 25 25  1675 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114593 -          * cr 1230....miles...........  15.0  41.00  236  643 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114594 -               1620....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114595 -               1630....BP HR.....................................................  80  57 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114596 -               1635....BP HR.....................................................  79  60 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114597 -               1725... 40 36940 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114598 -               1930............ 10 10790  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114599 -               1930............ 10 10380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114600 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114601 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114602 -               2040... 40 16280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114603 -               2120... 1000  264000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114604 -               2220... 80 93460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114605 -               0000... Naproxen (Aleve) 1 pill 250  63350 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114607 -  ..
114608 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114610 -  ..
114611 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114613 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114614 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114615 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114616 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114617 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114619 -  ..
114620 - Blood pressure okay and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114621 - calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114622 - gastrointestinal drugs last night, and after hiking 0 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114623 - per above. ref SDS 0 OF6O  BP very good and pulse okay after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114624 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114626 -  ..
114627 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114628 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114629 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114630 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114631 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114632 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114634 -  ..
114635 - Weight - 180 this morning after hiking 2 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114636 - increased eating yesterday.  After hiking 12 miles lost 6 pounds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114637 - 172.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114639 -  ..
114640 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114641 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114642 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114643 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114644 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114645 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114646 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114647 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114648 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114649 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114650 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114651 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114652 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114653 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114654 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114655 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114656 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114657 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114658 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114660 -                                                    Pain Level   Day
114661 -         ..
114662 -        Hip left.....................................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114663 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114664 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114665 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114666 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114667 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114668 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114669 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114670 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114671 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114672 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114673 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114674 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114675 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114676 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114677 -        Burning sensation right foot.................   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114678 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114680 -  ..
114681 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114682 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114683 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114684 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114685 - last night on 180925, per above. ref SDS 0 UB3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114687 -  ..
114688 - Legs 6 hours after hike did not feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114689 - depleted, but only minor, so did not take hydrocodone (Norco) in order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114690 - to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114692 -  ..
114693 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114694 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114696 -  ..
114697 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114698 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114699 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114701 -  ..
114702 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114703 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114704 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114705 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114707 -  ..
114708 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114709 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114711 -  ..
114712 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114713 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114714 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114715 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114716 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114718 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114719 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114720 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114721 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114722 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114723 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114724 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114725 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114726 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114727 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114728 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114729 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114730 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114731 -        again today.................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114733 -  ..
114734 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114735 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114736 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114738 -  ..
114739 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114740 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114742 -  ..
114743 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114744 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114746 -  ..
114747 - Hip left, pain level 2 on sloped pavement Ygnacio Valley Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114748 - miles, and pain level 2 sloped pavement Oak Grove also .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114749 - Pain resolves to level 0 when sloped pavement ends.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114751 -  ..
114752 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114753 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114754 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114755 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114757 -  ..
114758 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114759 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114760 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114761 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114762 - level 0.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114763 - hiking concrete sidewalk.  Burning sensation right foot about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114764 - miles, then ended.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114765 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114766 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114767 - traffic flow.  Time mile 4.25 64 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114768 - Valley Road going West against strong wind.  At mile 4.75 pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114769 - 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114770 - pace going 1 mile uphill breathing only through nose indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114771 - increasing pulmonary function.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114772 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114773 - today.  Left and right knees pain level 0 entire distance.  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114774 - PRP treatments most recently on 180824 1515, ref SDS A8 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114775 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114776 - calluses both feet, indicating effective protection wearing Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114777 - socks received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114778 - Woods Way.  Going up steep hill felt strong - increased pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114779 - miles breathing through nose entire distance.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114780 - pace.  Left and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114781 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114782 - to Crystal Ranch Road about 1 mile against strong wind.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114783 - pace going uphill against wind on Ygnacio Valley Road past Cowell to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114784 - summit.  Maintained pace downhill 2 miles to Oak Grove.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114785 - onto Oak Grove.  Hiked 1 mile to Treat.  Turned corner onto Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114786 - hiked 2 miles home, total 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114788 -  ..
114789 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114790 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114791 - Dinner - macaroni cheese asparagus onion hamburger tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114793 -  ..
114794 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114798 -         ..
114799 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114800 -  275.  180930 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114801 -               1025....BP HR..................................................... 137  74  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114802 -               1030....BP HR..................................................... 117  67  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114803 -               1035....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114804 -               1040... 20 16680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114805 -               1040... 80 93540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114806 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114807 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114808 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114809 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114810 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114811 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114812 -               1030....pushups......    25 25  1750 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114813 -          * cr 1100....miles...........  13.0  54.00  203  846 minutes temp  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114814 -               1500....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114815 -               1510....BP HR..................................................... 109  68 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114816 -               1515....BP HR.....................................................  96  63 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114817 -               1700... 40 36980 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114818 -             1 0000............ 10 10790  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114819 -             1 0000............ 10 10380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114820 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114821 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114822 -               0000... 40 16280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114823 -               2000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114824 -               2010... 1000  265000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114825 -               2050... 80 93620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114827 -  ..
114828 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114830 -  ..
114831 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114833 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114834 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114835 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114836 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114837 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114839 -  ..
114840 - Blood pressure very good and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114841 - calcium carbonate (Tums) and taking normal dose Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114842 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114843 - yesterday. per above. ref SDS 0 3U4H  BP very good and pulse okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114844 - after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114846 -  ..
114847 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114848 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114849 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114850 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114851 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114852 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114854 -  ..
114855 - Weight - 177 this morning after hiking 15 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114856 - increased less yesterday.  After hiking 13 miles lost 5 pounds to 172.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114858 -  ..
114859 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114860 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114861 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114862 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114863 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114864 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114865 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114866 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114867 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114868 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114869 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114870 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114871 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114872 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114873 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114874 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114875 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114876 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114877 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114879 -                                                    Pain Level   Day
114880 -         ..
114881 -        Hip left.....................................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114882 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114883 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114884 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114885 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114886 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114887 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114888 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114889 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114890 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114891 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114892 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114893 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114894 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114895 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114896 -        Burning sensation right foot.................   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114897 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114899 -  ..
114900 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114901 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114902 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114903 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114904 - night on 180929, per above. ref SDS 0 3U4H  Occurred for .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114905 - last mile of hike Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114907 -  ..
114908 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114909 - depleted, but only minor, so took naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114911 -  ..
114912 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114913 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114915 -  ..
114916 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114917 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114918 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114920 -  ..
114921 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114922 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114923 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114924 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114926 -  ..
114927 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114928 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114930 -  ..
114931 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114932 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114933 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114934 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114935 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114937 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114938 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114939 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114940 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114941 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114942 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114943 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114944 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114945 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114946 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114947 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114948 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114949 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114950 -        again today.................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114952 -  ..
114953 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114954 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114955 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114957 -  ..
114958 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114959 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114961 -  ..
114962 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114963 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114965 -  ..
114966 - Hip left, pain level 2 on sloped pavement Ygnacio Valley Road .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114967 - miles, and pain level 2 sloped pavement Oak Grove also .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114968 - Pain resolves to level 0 when sloped pavement ends.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114970 -  ..
114971 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114972 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114973 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114974 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114976 -  ..
114977 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114978 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114979 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114980 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114981 - level 0.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114982 - hiking concrete sidewalk.  Burning sensation right foot about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114983 - miles, then ended.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114984 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114985 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114986 - traffic flow.  Time mile 4.25 64 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114987 - Valley Road going West against strong wind.  At mile 4.75 pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114988 - 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114989 - pace going 1 mile uphill breathing only through nose indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114990 - increasing pulmonary function.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114991 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114992 - today.  Left and right knees pain level 0 entire distance.  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114993 - PRP treatments most recently on 180824 1515, ref SDS A8 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114994 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114995 - calluses both feet, indicating effective protection wearing Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114996 - socks received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114997 - Woods Way.  Going up steep hill felt strong - increased pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114998 - miles breathing through nose entire distance.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114999 - pace.  Left and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115000 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115001 - to Crystal Ranch Road about 1 mile against strong wind.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115002 - pace going uphill against wind on Ygnacio Valley Road past Cowell to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115003 - summit.  Along this section roadway shoulder is sloped uphill left to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115004 - right.  Left hip pain level 2 for about .25 miles.  Maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115005 - downhill 2 miles to Oak Grove.  Left hip pain subsided to level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115006 - Turned corner onto Oak Grove.  Called Kathy for ride.  Hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115007 - Treat.  Left hip pain level 2 for about .25 miles until sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115008 - shoulder flattens.  Kathy drove us home for 13 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115010 -  ..
115011 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115012 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115013 - Dinner - squash lettuce brocolli tomato asparagus salmon onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115015 -  ..
115016 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115020 -         ..
115021 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115022 -  276.  181001 0520..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115023 -               0610....BP HR..................................................... 130  67  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115024 -               0615....BP HR..................................................... 119  64  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115025 -               0620....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115026 -               0620... 20 16680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115027 -               0620... 80 93540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115028 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115029 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115030 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115031 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115032 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115033 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115034 -               0730....pushups......    20 30  1800 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115035 -          * cr 0910....miles...........  14.0  14.00  219  219 minutes temp  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115036 -               1320....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115037 -               1325....BP HR..................................................... 106  69 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115038 -               1330....BP HR..................................................... 100  67  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115039 -               1800... 40 36980 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115040 -               1900............ 10 10800  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115041 -               1900............ 10 10380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115042 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115043 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115044 -               2010... 40 16280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115045 -               2030... 1000  265000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115046 -               2110... 80 93620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115047 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115049 -  ..
115050 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115052 -  ..
115053 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115055 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115056 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115057 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115058 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115059 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115061 -  ..
115062 - Blood pressure good and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115063 - calcium carbonate (Tums) and not taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115064 - last night, and after hiking 13 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115065 - ref SDS 0 TJ5N  BP okay and pulse okay after hiking 14 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115066 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115068 -  ..
115069 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115070 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115071 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115072 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115073 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115074 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115076 -  ..
115077 - Weight - 178 this morning after hiking 13 miles yesterday; conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115078 - with eating less yesterday.  After hiking 14 miles lost 6 pounds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115079 - 172.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115081 -  ..
115082 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115083 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115084 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115085 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115086 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115087 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115088 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115089 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115090 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115091 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115092 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115093 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115094 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115095 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115096 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115097 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115098 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115099 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115100 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115102 -                                                    Pain Level   Day
115103 -         ..
115104 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115105 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115106 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115107 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115108 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115109 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115110 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115111 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115112 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115113 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115114 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115115 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115116 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115117 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115118 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115119 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115120 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115122 -  ..
115123 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115124 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115125 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115126 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115127 - night on 180929, per above. ref SDS 0 3U4H  Very mile peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115128 - neuropathy occurred within 1st mile, and lasted only about .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115129 - on Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115131 -  ..
115132 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115133 - depleted, but only minor, so took naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115135 -  ..
115136 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115137 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115139 -  ..
115140 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115141 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115142 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115144 -  ..
115145 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115146 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115147 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115148 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115150 -  ..
115151 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115152 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115154 -  ..
115155 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115156 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115157 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115158 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115159 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115161 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115162 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115163 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115164 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115165 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115166 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115167 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115168 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115169 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115170 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115171 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115172 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115173 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115174 -        again today.................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115176 -  ..
115177 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115178 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115179 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115181 -  ..
115182 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115183 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115185 -  ..
115186 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115187 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115189 -  ..
115190 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115191 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115193 -  ..
115194 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115195 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115196 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115197 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115199 -  ..
115200 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115201 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115202 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115203 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115204 - level 0.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115205 - hiking concrete sidewalk.  Burning sensation right foot about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115206 - miles, then ended.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115207 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115208 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115209 - traffic flow.  Time mile 4.25 66 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115210 - Valley Road going West against no wind.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115211 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115212 - going 1 mile uphill breathing only through nose indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115213 - increasing pulmonary function.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115214 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115215 - today.  Left and right knees pain level 0 entire distance.  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115216 - PRP treatments most recently on 180824 1515, ref SDS A8 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115217 - effective preventing osteoarthritis.  No blisters and pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115218 - calluses both feet, indicating effective protection wearing Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115219 - socks received on 180530 0726, ref SDS 92 9O6X, Turned onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115220 - Woods Way.  Going up steep hill felt strong - increased pace for .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115221 - miles breathing through nose entire distance.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115222 - pace.  Left and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115223 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115224 - to Crystal Ranch Road about 1 mile against no wind.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115225 - Crystal Ranch Road and did another loop.  Good pace uphill 1 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115226 - maintained pace on flat ground, and slowed slightly going downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115227 - Rolling Woods Way.  Turned corner and hiked uphill .3 miles at good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115228 - pace, still pain level 0.  Slowed slightly going downhill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115229 - onto Pine Hollow.  Hiked 1 mile and turned onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115230 - Called Kathy for ride at Crystal Ranch road.  Hiked 1 mile West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115231 - to Crystal Ranch Road.  Kathy had not arrived, so continued uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115232 - about .5 miles.  Kathy arrived and we drove home for 14 mile hike, all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115233 - pain level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115235 -  ..
115236 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115237 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115238 - Dinner - squash lettuce brocolli tomato asparagus pasta onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115240 -  ..
115241 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115245 -         ..
115246 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115247 -  277.  181002 0540..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115248 -               0625....BP HR..................................................... 137  63  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115249 -               0630....BP HR..................................................... 129  65  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115250 -               0635....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115251 -               0000... 20 16680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115252 -               0000... 80 93540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115253 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115254 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115255 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115256 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115257 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115258 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115259 -               0640....pushups......    25 20  1895 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115260 -               1750... 40 37060 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115261 -             1 0000............ 10 10800  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115262 -             1 0000............ 10 10380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115263 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115264 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115265 -               1940... 40 16320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115266 -               2005... 1000  266000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115267 -               2210... 80 93620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115268 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115270 -  ..
115271 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115273 -  ..
115274 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115276 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115277 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115278 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115279 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115280 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115282 -  ..
115283 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115284 - carbonate (Tums) and not taking Mylanta gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115285 - night, and after hiking 14 miles yesterday. per above. ref SDS 0 OJ7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115287 -  ..
115288 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115289 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115290 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115291 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115292 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115293 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115295 -  ..
115296 - Weight - 177 this morning after hiking 14 miles yesterday; conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115297 - with eating less yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115299 -  ..
115300 - Hiking - none, in Sacramento for EGD procedure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115302 -  ..
115303 - Breakfast - NPO for EGD dilatio at VAMC in Sacramento.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115304 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115305 - Dinner - squash lettuce brocolli pork chop mashed potatoes avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115307 -  ..
115308 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115312 -         ..
115313 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115314 -  278.  181003 0610..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115315 -               0645....BP HR..................................................... 132  67  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115316 -               0650....BP HR..................................................... 134  71  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115317 -               0655....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115318 -               0655... 20 16680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115319 -               0655... 80 93540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115320 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115321 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115322 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115323 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115324 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115325 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115326 -               0700....pushups......    20 20  1850 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115327 -          * cr 0745....miles...........  18.0  32.00  278  497 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115328 -               1230....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115329 -               1235....BP HR..................................................... 120  69  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115330 -               1340....BP HR..................................................... 112  67  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115331 -               1700... 40 37060 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115332 -               1930............ 10 10800  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115333 -               1930............ 10 10380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115334 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115335 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115336 -               2040... 40 16320 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115337 -               2110... 1000  266000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115338 -               2210... 80 93620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115339 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115341 -  ..
115342 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115344 -  ..
115345 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115347 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115348 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115349 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115350 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115351 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115353 -  ..
115354 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115355 - carbonate (Tums) and not taking Mylanta gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115356 - night, and after hiking 14 miles yesterday. per above. ref SDS 0 OJ7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115358 -  ..
115359 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115360 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115361 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115362 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115363 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115364 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115366 -  ..
115367 - Weight - 181 this morning after hiking 0 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115368 - eating more yesterday.  After hiking 18 miles, weight 174, lost 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115369 - pounds. ref SDS 0 P37I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115371 -  ..
115372 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115373 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115374 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115375 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115376 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115377 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115378 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115379 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115380 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115381 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115382 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115383 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115384 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115385 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115386 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115387 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115388 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115389 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115390 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115392 -                                                    Pain Level   Day
115393 -         ..
115394 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115395 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115396 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115397 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115398 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115399 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115400 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115401 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115402 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115403 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115404 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115405 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115406 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115407 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115408 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115409 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115410 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115412 -  ..
115413 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115414 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115415 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115416 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115417 - statins last night on 181002, per above. ref SDS 0 XK4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115419 -  ..
115420 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115421 - depleted, but only minor, so took naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115423 -  ..
115424 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115425 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115427 -  ..
115428 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115429 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115430 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115432 -  ..
115433 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115434 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115435 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115436 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115438 -  ..
115439 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115440 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115442 -  ..
115443 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115444 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115445 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115446 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115447 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115449 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115450 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115451 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115452 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115453 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115454 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115455 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115456 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115457 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115458 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115459 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115460 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115461 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115462 -        again today.................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115464 -  ..
115465 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115466 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115467 - lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115469 -  ..
115470 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115471 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115473 -  ..
115474 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115475 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115477 -  ..
115478 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115479 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115481 -  ..
115482 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115483 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115484 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115485 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115487 -  ..
115488 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115489 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115490 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115491 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115492 - level 0.  After starting, half way on Treat to Clayton moderate chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115493 - pressure, seemed like lungs have not fully dilated.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115494 - miles 18 minutes.  Maintained pace on Clayton hiking concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115495 - sidewalk.  Half way on Claryton chest pressure subsided.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115496 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115497 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115498 - South Side to hike against Eastbound traffic flow.  Time mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115499 - minutes.  Continuing on Ygnacio Valley Road going West against no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115500 - wind.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115501 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115502 - 25% of way uphill chest pressure recured.  Seemed similar to report on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115503 - 090908 1130, ref SDS 1 MY4N, which led to CABG x4 on 091022 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115504 - ref SDS 3 PQWU  Did not back off pace.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115505 - flat ground.  Chest pressure subsided.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115506 - Rolling Woods Way normal pace, today.  Left and right knees pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115507 - 0 entire distance.  Indicates PRP treatments most recently on 180824                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115508 - 1515, ref SDS A8 0001, effective preventing osteoarthritis.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115509 - blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115510 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115511 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115512 - felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115513 - entire distance.  Chest pressure did not recur.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115514 - pace.  Left and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115515 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115516 - to Crystal Ranch Road about 1 mile against no wind.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115517 - Crystal Ranch Road and did another 4-mile loop.  Good pace uphill .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115518 - miles, maintained pace on flat ground.  Chest pressure did not recur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115519 - on 2nd lap, and for rest of hike.  Slowed slightly going downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115520 - Rolling Woods Way.  Turned corner and hiked uphill .3 miles at good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115521 - pace, still pain level 0.  Slowed slightly going downhill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115522 - onto Pine Hollow.  Hiked 1 mile and turned onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115523 - Hiked 1 mile West back to Crystal Ranch Road.  Increased pace uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115524 - past Cowell to summit on Ygnacio Valley Road.  Hiked 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115525 - on Ygnacio Valley Raod to Oak Grove.  Turned right.  Called Kathy for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115526 - ride.  Hike 1 mile to Treat.  Kathy arrived and we drove home for 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115527 - mile hike, all pain level 0, except chest pressure maybe 1 at times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115528 - Seems most likely breathing and digestion issue, following EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115529 - dilation yesterday.  Food could have gotten stuck in esophagus, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115530 - eventually worked through.  Noteworthy today, because not previously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115531 - reported.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115533 -  ..
115534 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115535 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115536 - Dinner - squash lettuce brocolli mashed potatoes hot dog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115538 -  ..
115539 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115543 -         ..
115544 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115545 -  279.  181004 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115546 -               0815....BP HR..................................................... 135  67  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115547 -               0820....BP HR..................................................... 133  67  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115548 -               0825....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115549 -               0825... 20 16700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115550 -               0825... 80 93700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115551 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115552 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115553 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115554 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115555 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115556 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115557 -               0900....pushups......       25  1875 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115558 -               1820... 40 37100 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115559 -             1 0000............ 10 10800  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115560 -             1 0000............ 10 10380  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115561 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115562 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115563 -               2010... 40 16360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115564 -               2050... 1000  267000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115565 -               2220... 80 93780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115566 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115568 -  ..
115569 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115571 -  ..
115572 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115574 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115575 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115576 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115577 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115578 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115580 -  ..
115581 - Blood pressure poor and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115582 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115583 - last night, and after hiking 18 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115584 - ref SDS 0 P37I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115586 -  ..
115587 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115588 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115589 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115590 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115591 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115592 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115594 -  ..
115595 - Weight - 179 this morning after hiking 18 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115596 - eating less yesterday.  After hiking 16 miles, weight 175, lost 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115597 - pounds. ref SDS 0 P37I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115599 -  ..
115600 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115602 -  ..
115603 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115604 - Lunch - sandwich roast beef tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115605 - Dinner - tuna pasta onion tomato asparagus avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115607 -  ..
115608 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115612 -         ..
115613 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115614 -  280.  181005 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115615 -               0705....BP HR..................................................... 155  77  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115616 -               0710....BP HR..................................................... 154  79  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115617 -               0715....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115618 -               0715... 20 16720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115619 -               0715... 80 93860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115620 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115621 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115622 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115623 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115624 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115625 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115626 -               0900....pushups......    25 25  1925 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115627 -          * cr 0945....miles...........  11.0  43.00  171  668 minutes temp  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115628 -               1310....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115629 -               1320....BP HR..................................................... 119  66  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115630 -               1325....BP HR..................................................... 116  54  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115631 -               1530... 40 37140 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115632 -               1840............ 10 10810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115633 -               1840............ 10 10400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115634 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115635 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115636 -               1950... 40 16360 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115637 -               2040... 1000  268000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115638 -               2150... 80 93940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115639 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115641 -  ..
115642 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115644 -  ..
115645 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115647 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115648 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115649 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115650 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115651 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115653 -  ..
115654 - Blood pressure poor and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115655 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115656 - last night, and after hiking 0 miles yesterday. per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115657 - 4G4K  BP okay and heart rate good after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115659 -  ..
115660 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115661 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115662 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115663 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115664 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115665 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115667 -  ..
115668 - Weight - 179 this morning after hiking 0 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115669 - eating less yesterday.  After hiking 11 miles, weight 175, lost 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115670 - pounds. ref SDS 0 O67J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115672 -  ..
115673 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115674 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115675 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115676 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115677 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115678 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115679 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115680 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115681 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115682 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115683 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115684 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115685 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115686 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115687 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115688 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115689 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115690 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115691 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115693 -                                                    Pain Level   Day
115694 -         ..
115695 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115696 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115697 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115698 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115699 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115700 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115701 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115702 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115703 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115704 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115705 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115706 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115707 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115708 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115709 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115710 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115711 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115713 -  ..
115714 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115715 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115716 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115717 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115718 - statins last night on 181004, per above. ref SDS 0 4G4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115720 -  ..
115721 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115722 - depleted, but only minor, so took naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115724 -  ..
115725 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115726 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115728 -  ..
115729 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115730 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115731 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115733 -  ..
115734 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115735 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115736 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115737 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115739 -  ..
115740 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115741 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115743 -  ..
115744 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115745 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115746 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115747 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115748 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115750 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115751 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115752 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115753 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115754 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115755 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115756 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115757 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115758 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115759 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115760 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115761 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115762 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115763 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115764 -        again today.................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115766 -  ..
115767 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115768 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115769 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115770 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115772 -  ..
115773 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115774 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115776 -  ..
115777 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115778 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115780 -  ..
115781 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115782 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115784 -  ..
115785 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115786 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115787 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115788 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115790 -  ..
115791 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115792 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115793 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115794 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115795 - level 0.  After starting, half way on Treat to Clayton moderate chest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115796 - pressure, seemed like lungs have not fully dilated.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115797 - miles 18 minutes.  Maintained pace on Clayton hiking concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115798 - sidewalk.  Half way on Claryton chest pressure subsided.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115799 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115800 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115801 - South Side to hike against Eastbound traffic flow.  Time mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115802 - minutes.  Continuing on Ygnacio Valley Road going West against no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115803 - wind.  At mile 4.75 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115804 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115805 - 25% of way uphill chest pressure recured.  Seemed similar to report on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115806 - 090908 1130, ref SDS 1 MY4N, which led to CABG x4 on 091022 0700.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115807 - ref SDS 3 PQWU  Did not back off pace.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115808 - flat ground.  Chest pressure subsided.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115809 - Rolling Woods Way normal pace, today.  Left and right knees pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115810 - 0 entire distance.  Indicates PRP treatments most recently on 180824                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115811 - 1515, ref SDS A8 0001, effective preventing osteoarthritis.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115812 - blisters and pain level 0 calluses both feet, indicating effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115813 - protection wearing Smartwool socks received on 180530 0726,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115814 - ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115815 - felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115816 - entire distance.  Chest pressure did not recur.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115817 - pace.  Left and right knee pain level 0.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115818 - Hollow and hiked 1 mile back to Ygnacio Valley Road.  Hiked West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115819 - to Crystal Ranch Road about 1 mile against wind.  Hiked uphill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115820 - to Cowell, and turned corner because feeling blisters on both feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115821 - Hiked on Cowell downhill back to Treat, then home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115823 -  ..
115824 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115825 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115826 - Dinner - lettuce pasta onion tomato asparagus avocado hot dog cottage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115827 - cheese chips, beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115829 -  ..
115830 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115834 -         ..
115835 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115836 -  281.  181006 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115837 -               0930....BP HR..................................................... 126  73  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115838 -               0935....BP HR..................................................... 125  70  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115839 -               0935....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115840 -               0935... 20 16740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115841 -               0035... 80 94020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115842 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115843 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115844 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115845 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115846 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115847 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115848 -               0950....pushups......    25 30  1980 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115849 -          * cr 0945....miles...........  11.0  54.00  172  840 minutes temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115850 -               1550....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115851 -               1620....BP HR..................................................... 110  65 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115852 -               1625....BP HR..................................................... 108  61 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115853 -               1700... 40 37180 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115854 -             1 0000............ 10 10810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115855 -             1 0000............ 10 10400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115856 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115857 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115858 -               1910... 40 16400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115859 -               1950... 1000  269000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115860 -               2110... 80 94080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115861 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115863 -  ..
115864 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115866 -  ..
115867 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115869 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115870 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115871 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115872 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115873 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115875 -  ..
115876 - Blood pressure okay and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115877 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115878 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115879 - ref SDS 0 O67J  BP okay and heart rate good after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115880 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115882 -  ..
115883 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115884 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115885 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115886 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115887 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115888 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115890 -  ..
115891 - Weight - 178 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115892 - eating less yesterday.  After hiking 11 miles, weight 173, lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115893 - pounds. ref SDS 0 KF9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115895 -  ..
115896 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115897 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115898 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115899 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115900 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115901 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115902 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115903 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115904 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115905 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115906 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115907 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115908 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115909 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115910 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115911 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115912 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115913 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115914 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115916 -                                                    Pain Level   Day
115917 -         ..
115918 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115919 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115920 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115921 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115922 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115923 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115924 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115925 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115926 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115927 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115928 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115929 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115930 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115931 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115932 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115933 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115934 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115936 -  ..
115937 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115938 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115939 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115940 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115941 - night on 181005, per above. ref SDS 0 O67J  Occurred for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115942 - distance, about .25 miles on Treat, about mile .5 in the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115943 - Occurred again on Crystal Ranch Road about mile 6, after going uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115944 - and hiking on flat for about .25 miles, then subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115946 -  ..
115947 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115948 - depleted, but only very minor, so did not take naproxen 250 mg in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115949 - order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115951 -  ..
115952 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115953 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115955 -  ..
115956 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115957 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115958 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115960 -  ..
115961 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115962 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115963 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115964 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115966 -  ..
115967 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115968 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115970 -  ..
115971 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115972 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115973 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115974 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115975 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115977 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115978 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115979 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115980 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115981 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115982 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115983 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115984 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115985 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115986 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115987 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115988 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115989 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115990 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115991 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115992 -        again today.................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115994 -  ..
115995 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115996 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115997 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115998 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116000 -  ..
116001 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116002 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116004 -  ..
116005 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116006 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116008 -  ..
116009 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116010 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116012 -  ..
116013 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116014 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116015 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116016 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116018 -  ..
116019 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116020 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116021 - low.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116022 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116023 - level 0.  After starting, half way on Treat to Clayton minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116024 - peripheral neuropathy in right foot - ended before reaching Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116025 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116026 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116027 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116028 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116029 - traffic flow.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116030 - Valley Road going West against no wind.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116031 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116032 - going 1 mile uphill.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116033 - Slight peripheral neuropathy for about .25 miles.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116034 - hill toward Rolling Woods Way normal pace, today.  Left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116035 - knees pain level 0 entire distance.  Indicates PRP treatments most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116036 - recently on 180824 1515, ref SDS A8 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116037 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116038 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116039 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116040 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116041 - nose entire distance.  Going downhill normal pace.  Left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116042 - knee pain level 0.  Turned corner onto Pine Hollow and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116043 - back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116044 - about 1 mile against wind.  Hiked uphill 1 mile to Cowell, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116045 - corner because feeling blisters on both feet.  Hiked on Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116046 - downhill back to Treat, then home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116048 -  ..
116049 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116050 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116051 - Dinner - salmon onion tomato asparagus avocado celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116053 -  ..
116054 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116057 -         ..
116058 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116059 -  282.  181007 0725..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116060 -               0730....BP HR..................................................... 122  66  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116061 -               0735....BP HR..................................................... 113  62  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116062 -               0735....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116063 -               0735... 20 16740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116064 -               0735... 80 94020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116065 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116066 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116067 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116068 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116069 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116070 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116071 -         **    0750....pushups......       20  2000 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116072 -          * cr 1210....miles...........  11.0  65.00  164 1004 minutes temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116073 -               1520....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116074 -               1530....BP HR..................................................... 108  67 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116075 -               1535....BP HR.....................................................  97  62 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116076 -               1700... 40 37180 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116077 -               1910............ 10 10810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116078 -               1910............ 10 10400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116079 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116080 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116081 -               2020... 40 16400 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116082 -               2100... 1000  269000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116083 -               2220... 80 94080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116084 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116086 -  ..
116087 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116089 -  ..
116090 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116091 - right side down right side of verbrait about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116092 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116093 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116094 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116095 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116096 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116098 -            [...below on 181020 in case study on 180101 0820, tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116099 -            regular military pushups again with feet elevated on chair.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116100 -            After hike there was recurrance of pain in neck and back,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116101 -            so paused military pushups again. ref SDS 0 XSQV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116103 -  ..
116104 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116106 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116107 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116108 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116109 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116110 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116112 -  ..
116113 - Blood pressure very good and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116114 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116115 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116116 - ref SDS 0 KF9L  BP okay and heart rate good after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116117 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116119 -  ..
116120 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116121 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116122 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116123 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116124 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116125 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116127 -  ..
116128 - Weight - 178 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116129 - eating less yesterday.  After hiking 11 miles, weight 173, lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116130 - pounds. ref SDS 0 VW5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116132 -  ..
116133 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116134 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116135 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116136 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116137 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116138 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116139 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116140 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116141 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116142 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116143 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116144 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116145 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116146 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116147 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116148 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116149 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116150 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116151 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116153 -                                                    Pain Level   Day
116154 -         ..
116155 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116156 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116157 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116158 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116159 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116160 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116161 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116162 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116163 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116164 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116165 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116166 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116167 -        Callus big toe left foot.....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116168 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116169 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116170 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116171 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116173 -  ..
116174 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116175 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116176 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116177 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116178 - statins last night on 181006, per above. ref SDS 0 KF9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116180 -  ..
116181 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116182 - depleted, but only minor, so did not take naproxen 250 mg in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116183 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116185 -  ..
116186 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116187 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116189 -  ..
116190 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116191 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116192 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116194 -  ..
116195 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116196 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116197 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116198 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116200 -  ..
116201 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116202 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116204 -  ..
116205 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116206 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116207 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116208 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116209 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116211 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116212 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116213 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116214 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116215 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116216 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116217 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116218 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116219 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116220 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116221 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116222 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116223 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116224 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116225 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116226 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116227 -        again today.................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116229 -  ..
116230 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116231 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116232 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116233 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116235 -  ..
116236 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116237 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116239 -  ..
116240 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116241 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116243 -  ..
116244 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116245 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116247 -  ..
116248 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116249 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116250 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116251 - smartwool socks, and Ammonium Lactate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116253 -  ..
116254 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116255 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116256 - good.  Fire in Fairfield caused smoke and soot that blocked out the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116257 - sun in Concord.  Calfs pain level 0.  Left foot tailor's bunion pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116258 - level 0 entire hike.  Metatarsalgia left foot pain level 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116259 - pain level 0.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116260 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116261 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116262 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116263 - against Eastbound traffic flow.  Time mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116264 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116265 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116266 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116267 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116268 - normal pace, today.  Left and right knees pain level 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116269 - distance.  Indicates PRP treatments most recently on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116270 - ref SDS A8 0001, effective preventing osteoarthritis.  No blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116271 - pain level 0 calluses both feet, indicating effective protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116272 - wearing Smartwool socks received on 180530 0726, ref SDS 92 9O6X,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116273 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116274 - increased pace for .3 miles breathing through nose entire distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116275 - Going downhill normal pace.  Left and right knee pain level 0.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116276 - corner onto Pine Hollow and increased pace hiking 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116277 - Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116278 - mile against wind.  Increased pace hiking uphill 1 mile to Cowell, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116279 - turned corner because feeling blister on callus big toe left foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116280 - Hiked on Cowell downhill back to Treat, then home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116282 -  ..
116283 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116284 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116285 - Dinner - salmon onion tomato asparagus avocado celery, toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116287 -  ..
116288 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116292 -         ..
116293 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116294 -  283.  181008 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116295 -               0850....BP HR..................................................... 130  71  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116296 -               0855....BP HR..................................................... 118  62  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116297 -               0900....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116298 -               0900... 20 16760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116299 -               0900... 80 94180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116300 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116301 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116302 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116303 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116304 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116305 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116306 -         **    0930....pushups......       20  2000 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116307 -          * cr 1200....miles...........  11.0  11.00  167  167 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116308 -               1515....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116309 -               1525....BP HR..................................................... 116  69 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116310 -               1530....BP HR..................................................... 115  66 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116311 -               1700... 40 37220 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116312 -             1 0000............ 10 10810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116313 -             1 0000............ 10 10400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116314 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116315 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116316 -               1950... 40 16440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116317 -               2030... 1000  270000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116318 -               2150... 80 94260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116319 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116321 -  ..
116322 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116324 -  ..
116325 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116326 - right side down right side of verbrait about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116327 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116328 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116329 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116330 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116331 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116333 -  ..
116334 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116336 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116337 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116338 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116339 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116340 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116342 -  ..
116343 - Blood pressure very good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116344 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116345 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116346 - ref SDS 0 VW5N  BP okay and heart rate good after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116347 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116349 -  ..
116350 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116351 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116352 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116353 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116354 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116355 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116357 -  ..
116358 - Weight - 177 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116359 - eating less yesterday.  After hiking 11 miles, weight 172, lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116360 - pounds. ref SDS 0 VW5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116362 -  ..
116363 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116364 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116365 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116366 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116367 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116368 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116369 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116370 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116371 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116372 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116373 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116374 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116375 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116376 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116377 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116378 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116379 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116380 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116381 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116383 -                                                    Pain Level   Day
116384 -         ..
116385 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116386 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116387 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116388 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116389 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116390 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116391 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116392 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116393 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116394 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116395 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116396 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116397 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116398 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116399 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116400 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116401 -        Peripheral neruopathy right foot.............   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116403 -  ..
116404 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116405 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116406 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116407 - evident peripheral neuropathy for about 2 miles in right foot after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116408 - taking statins last night on 181007, per above. ref SDS 0 VW5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116410 -  ..
116411 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116412 - depleted, but only minor, so did not take naproxen 250 mg in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116413 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116415 -  ..
116416 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116417 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116419 -  ..
116420 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116421 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116422 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116424 -  ..
116425 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116426 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116427 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116428 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116430 -  ..
116431 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116432 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116434 -  ..
116435 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116436 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116437 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116438 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116439 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116441 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116442 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116443 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116444 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116445 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116446 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116447 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116448 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116449 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116450 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116451 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116452 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116453 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116454 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116455 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116456 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116457 -        again today.................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116459 -  ..
116460 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116461 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116462 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116463 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116465 -  ..
116466 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116467 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116469 -  ..
116470 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116471 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116473 -  ..
116474 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116475 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116477 -  ..
116478 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116479 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116480 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116481 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116483 -  ..
116484 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116485 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116486 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116487 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116488 - level 0.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116489 - hiking concrete sidewalk.  About mile 1.5 at McDonald's began feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116490 - mild peripheral neuropathy in right foot.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116491 - Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116492 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116493 - hike against Eastbound traffic flow.  Time mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116494 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116495 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116496 - Ranch Road.  Peripheral neuropathy right foot ended.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116497 - 1 mile uphill.  About 25% uphill saw another person hiking on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116498 - other side of the road, also going uphill and about 300 yards ahead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116499 - This is a rare event seeing another hiker on Crystal Ranch Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116500 - about 75% uphill had closed this lead to 50 yards, but the other guy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116501 - turned and went back downhill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116502 - ground.  Police car drove past, then made uturn and parked in front of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116503 - me about 30 yards ahead.  Oficer exited the car.  I asked if he was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116504 - there for me, as I continued walking toward him.  He smiled and said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116505 - no.  He walked up to a house and rang door bell.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116506 - hill toward Rolling Woods Way normal pace, today.  Left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116507 - knees pain level 0 entire distance.  Indicates PRP treatments most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116508 - recently on 180824 1515, ref SDS A8 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116509 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116510 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116511 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116512 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116513 - nose entire distance.  Going downhill normal pace.  Left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116514 - knee pain level 0.  Turned corner onto Pine Hollow and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116515 - hiking 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116516 - Ranch Road about 1 mile against wind.  Increased pace hiking uphill 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116517 - mile to Cowell, and turned corner because feeling blister only on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116518 - callus big toe left foot.  Hiked on Cowell downhill back to Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116519 - then home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116521 -  ..
116522 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116523 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116524 - Dinner - eggs asparagus onion cheese bacon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116526 -  ..
116527 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116531 -         ..
116532 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116533 -  284.  181009 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116534 -               0810....BP HR..................................................... 145  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116535 -               0815....BP HR..................................................... 138  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116536 -               0820....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116537 -               0820... 20 16780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116538 -               0820... 80 94340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116539 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116540 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116541 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116542 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116543 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116544 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116545 -         **    0930....pushups......       20  2020 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116546 -          * cr 1250....miles...........  11.0  22.00  162  329 minutes temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116547 -               1555....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116548 -               1605....BP HR..................................................... 109  69 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116549 -               1610....BP HR..................................................... 103  67 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116550 -               1710... 40 37260 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116551 -               1850............ 10 10810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116552 -               1850............ 10 10400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116553 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116554 -               2010... 40 16440 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116555 -               2030... 1000  270000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116556 -               2130... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116557 -               2150... 80 94260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116558 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116560 -  ..
116561 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116563 -  ..
116564 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116565 - right side down right side of verbrait about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116566 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116567 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116568 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116569 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116570 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116572 -  ..
116573 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116575 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116576 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116577 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116578 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116579 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116581 -  ..
116582 - Blood pressure very poor and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116583 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116584 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116585 - ref SDS 0 WA4O  BP okay and heart rate good after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116586 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116588 -  ..
116589 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116590 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116591 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116592 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116593 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116594 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116596 -  ..
116597 - Weight - 177 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116598 - eating less yesterday.  After hiking 11 miles, weight 172, lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116599 - pounds. ref SDS 0 JB8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116601 -  ..
116602 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116603 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116604 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116605 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116606 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116607 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116608 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116609 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116610 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116611 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116612 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116613 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116614 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116615 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116616 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116617 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116618 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116619 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116620 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116622 -                                                    Pain Level   Day
116623 -         ..
116624 -        Shoulder blade below neck right side.........   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116625 -        Hip left.....................................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116626 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116627 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116628 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116629 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116630 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116631 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116632 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116633 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116634 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116635 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116636 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116637 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116638 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116639 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116640 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116641 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116643 -  ..
116644 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116645 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116646 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116647 - evident mild peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116648 - statins last night on 181008, per above. ref SDS 0 WA4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116650 -  ..
116651 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116652 - depleted, but only minor, so did not take naproxen 250 mg in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116653 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116655 -  ..
116656 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116657 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116659 -  ..
116660 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116661 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116662 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116664 -  ..
116665 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116666 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116667 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116668 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116670 -  ..
116671 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116672 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116674 -  ..
116675 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116676 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116677 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116678 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116679 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116681 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116682 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116683 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116684 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116685 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116686 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116687 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116688 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116689 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116690 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116691 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116692 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116693 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116694 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116695 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116696 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116697 -        again today.................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116699 -  ..
116700 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116701 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116702 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116703 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116705 -  ..
116706 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116707 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116709 -  ..
116710 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116711 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116713 -  ..
116714 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116715 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116717 -  ..
116718 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116719 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116720 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116721 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116723 -  ..
116724 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116725 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116726 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116727 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116728 - level 0.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116729 - hiking concrete sidewalk.  About mile 2.0 began feeling mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116730 - peripheral neuropathy in right foot.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116731 - Valley Road at mile 3.25.  Peripheral neuropathy right foot ended.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116732 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116733 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116734 - flow.  Time mile 4.25 64 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116735 - going West against no wind.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116736 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116737 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116738 - down steep hill toward Rolling Woods Way normal pace, today.  Left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116739 - right knees pain level 0 entire distance.  Indicates PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116740 - most recently on 180824 1515, ref SDS A8 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116741 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116742 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116743 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116744 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116745 - nose entire distance.  Going downhill normal pace.  Left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116746 - knee pain level 0.  Turned corner onto Pine Hollow and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116747 - hiking 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116748 - Ranch Road about 1 mile against wind.  Increased pace hiking uphill 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116749 - mile to Cowell.  Sharp pain level 6 in left hip only few steps.  Came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116750 - again, then did not return.  Turned corner because feeling blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116751 - only on callus big toe left foot.  Hiked on Cowell downhill back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116752 - Treat, then home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116754 -  ..
116755 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116756 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116757 - Dinner - macaroni & cheese asparagus onion tomato avocado tuna toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116759 -  ..
116760 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116764 -         ..
116765 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116766 -  285.  181010 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116767 -               0810....BP HR..................................................... 131  69  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116768 -               0815....BP HR..................................................... 119  66  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116769 -               0820....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116770 -               0820... 20 16800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116771 -               0820... 80 94500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116772 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116773 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116774 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116775 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116776 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116777 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116778 -         **    0930....pushups......       20  2020 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116779 -          * cr 1250....miles...........  11.0  33.00  161  493 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116780 -               1605....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116781 -               1620....BP HR.....................................................  98  64  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116782 -               1625....BP HR..................................................... 102  61  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116783 -               1710... 40 37300 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116784 -             1 0000............ 10 10810  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116785 -             1 0000............ 10 10400  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116786 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116787 -               1900... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116788 -               2010... 40 16480 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116789 -               2030... 1000  271000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116790 -               2150... 80 94580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116791 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116793 -  ..
116794 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116796 -  ..
116797 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116798 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116799 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116800 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116801 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116802 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116803 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116805 -  ..
116806 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116808 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116809 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116810 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116811 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116812 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116814 -  ..
116815 - Blood pressure very good and heart rate okay today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116816 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116817 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116818 - ref SDS 0 JB8K  BP okay and heart rate good after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116819 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116821 -  ..
116822 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116823 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116824 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116825 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116826 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116827 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116829 -  ..
116830 - Weight - 178 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116831 - eating more yesterday.  After hiking 11 miles, weight 172, lost 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116832 - pounds. ref SDS 0 OD6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116834 -  ..
116835 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116836 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116837 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116838 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116839 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116840 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116841 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116842 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116843 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116844 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116845 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116846 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116847 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116848 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116849 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116850 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116851 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116852 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116853 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116855 -                                                    Pain Level   Day
116856 -         ..
116857 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116858 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116859 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116860 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116861 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116862 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116863 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116864 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116865 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116866 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116867 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116868 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116869 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116870 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116871 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116872 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116873 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116874 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116876 -  ..
116877 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116878 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116879 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116880 - evident mild peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116881 - last night on 181009, per above. ref SDS 0 JB8K  Seems to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116882 - declining.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116884 -  ..
116885 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116886 - depleted, but only minor, so did not take naproxen 250 mg in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116887 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116889 -  ..
116890 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116891 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116893 -  ..
116894 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116895 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116896 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116898 -  ..
116899 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116900 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116901 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116902 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116904 -  ..
116905 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116906 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116908 -  ..
116909 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116910 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116911 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116912 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116913 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116915 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116916 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116917 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116918 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116919 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116920 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116921 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116922 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116923 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116924 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116925 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116926 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116927 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116928 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116929 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116930 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116931 -        again today.................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116933 -  ..
116934 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116935 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116936 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116937 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116939 -  ..
116940 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116941 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116943 -  ..
116944 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116945 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116947 -  ..
116948 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116949 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116951 -  ..
116952 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116953 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116954 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116955 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116957 -  ..
116958 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116959 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116960 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116961 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116962 - level 0.  About mile 1 very mild peripheral neuropathy right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116963 - Time to 1.25 miles 17 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116964 - concrete sidewalk.  About mile 2.0 minimal neuropathy right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116965 - seemed subsided.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116966 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116967 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116968 - flow.  Time mile 4.25 65 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116969 - going West against no wind.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116970 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116971 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116972 - down steep hill toward Rolling Woods Way normal pace, today.  Left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116973 - right knees pain level 0 entire distance.  Indicates PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116974 - most recently on 180824 1515, ref SDS A8 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116975 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116976 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116977 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116978 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116979 - nose entire distance.  Going downhill normal pace.  Left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116980 - knee pain level 0.  Turned corner onto Pine Hollow and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116981 - hiking 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116982 - Ranch Road about 1 mile.  Increased pace hiking uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116983 - Cowell.  Turned corner and hiked on Cowell downhill back to Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116984 - then home for 11 miles.  This was very good hike, no pain any time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116986 -  ..
116987 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116988 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116989 - Dinner - macaroni & cheese tuna asparagus hot dog brocolli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116990 - tomato avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116992 -  ..
116993 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116997 -         ..
116998 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116999 -  286.  181011 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117000 -               0850....BP HR..................................................... 122  66  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117001 -               0855....BP HR..................................................... 121  66  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117002 -               0900....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117003 -               0900... 20 16820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117004 -               0900... 80 94660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117005 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117006 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117007 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117008 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117009 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117010 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117011 -         **    0930....pushups......       20  2040 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117012 -          * cr 1140....miles...........  11.0  44.00  161  493 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117013 -               1515....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117014 -               1520....BP HR.....................................................  98  64  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117015 -               1525....BP HR..................................................... 102  61  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117016 -               1630... 40 37340 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117017 -               1840............ 10 10820  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117018 -               1840............ 10 10410  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117019 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117020 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117021 -               1950... 40 16520 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117022 -               2030... 1000  272000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117023 -               2210... 80 94740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117024 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117026 -  ..
117027 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117029 -  ..
117030 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117031 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117032 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117033 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117034 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117035 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117036 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117038 -  ..
117039 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117041 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117042 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117043 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117044 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117045 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117047 -  ..
117048 - Blood pressure good and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117049 - carbonate (Tums) and taking less Mylanta gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117050 - night, and after hiking 11 miles yesterday. per above. ref SDS 0 OD6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117051 - BP okay and heart rate good after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117053 -  ..
117054 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117055 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117056 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117057 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117058 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117059 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117061 -  ..
117062 - Weight - 176 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117063 - eating less yesterday.  After hiking 11 miles, weight 172, lost 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117064 - pounds. ref SDS 0 OD6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117066 -  ..
117067 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117068 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117069 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117070 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117071 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117072 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117073 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117074 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117075 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117076 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117077 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117078 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117079 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117080 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117081 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117082 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117083 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117084 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117085 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117087 -                                                    Pain Level   Day
117088 -         ..
117089 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117090 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117091 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117092 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117093 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117094 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117095 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117096 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117097 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117098 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117099 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117100 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117101 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117102 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117103 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117104 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117105 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117106 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117108 -  ..
117109 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117110 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117111 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117112 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117113 - statins last night on 181010, per above. ref SDS 0 OD6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117115 -  ..
117116 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117117 - depleted, but only minor, so did not take naproxen 250 mg in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117118 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117120 -  ..
117121 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117122 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117124 -  ..
117125 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117126 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117127 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117129 -  ..
117130 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117131 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117132 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117133 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117135 -  ..
117136 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117137 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117139 -  ..
117140 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117141 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117142 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117143 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117144 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117146 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117147 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117148 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117149 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117150 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117151 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117152 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117153 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117154 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117155 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117156 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117157 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117158 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117159 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117160 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117161 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117162 -        again today.................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117164 -  ..
117165 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117166 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117167 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117168 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117170 -  ..
117171 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117172 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117174 -  ..
117175 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117176 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117178 -  ..
117179 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117180 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117182 -  ..
117183 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117184 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117185 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117186 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117188 -  ..
117189 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117190 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117191 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117192 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117193 - level 0.  About mile 1 very mild peripheral neuropathy right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117194 - Time to 1.25 miles 17 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117195 - concrete sidewalk.  About mile 2.0 minimal neuropathy right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117196 - seemed subsided.  Turned corner onto Ygnacio Valley Road at mile 3.25.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117197 - Hiked to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117198 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117199 - flow.  Time mile 4.25 65 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117200 - going West against no wind.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117201 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117202 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117203 - down steep hill toward Rolling Woods Way normal pace, today.  Left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117204 - right knees pain level 0 entire distance.  Indicates PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117205 - most recently on 180824 1515, ref SDS A8 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117206 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117207 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117208 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117209 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117210 - nose entire distance.  Going downhill normal pace.  Left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117211 - knee pain level 0.  Turned corner onto Pine Hollow and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117212 - hiking 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117213 - Ranch Road about 1 mile.  Increased pace hiking uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117214 - Cowell.  Turned corner and hiked on Cowell downhill back to Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117215 - then home for 11 miles.  This was very good hike, no pain any time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117217 -  ..
117218 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117219 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117220 - Dinner - asparagus onion hot dog tomato avocado celery mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117222 -  ..
117223 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117227 -         ..
117228 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117229 -  287.  181012 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117230 -               0900....BP HR..................................................... 117  64  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117231 -               0905....BP HR..................................................... 116  62  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117232 -               0910....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117233 -               0910... 20 16840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117234 -               0910... 80 94820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117235 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117236 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117237 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117238 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117239 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117240 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117241 -         **    0930....pushups......       20  2060 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117242 -          * cr 1245....miles...........  11.0  55.00  168  661 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117243 -               1600....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117244 -               1610....BP HR.....................................................  99  69 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117245 -               1615....BP HR.....................................................  96  66 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117246 -               1700... 40 37380 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117247 -             1 0000............ 10 10820  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117248 -             1 0000............ 10 10410  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117249 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117250 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117251 -               1920... 40 16560 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117252 -               1950... 1000  273000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117253 -               2140... 80 94900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117254 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117256 -  ..
117257 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117259 -  ..
117260 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117261 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117262 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117263 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117264 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117265 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117266 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117268 -  ..
117269 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117271 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117272 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117273 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117274 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117275 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117277 -  ..
117278 - Blood pressure very good and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117279 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117280 - last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117281 - ref SDS 0 G55K  BP good and heart rate good after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117282 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117284 -  ..
117285 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117286 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117287 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117288 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117289 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117290 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117292 -  ..
117293 - Weight - 176 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117294 - eating less yesterday.  After hiking 11 miles, weight 171, lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117295 - pounds. ref SDS 0 4H8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117297 -  ..
117298 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117299 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117300 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117301 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117302 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117303 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117304 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117305 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117306 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117307 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117308 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117309 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117310 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117311 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117312 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117313 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117314 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117315 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117316 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117318 -                                                    Pain Level   Day
117319 -         ..
117320 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117321 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117322 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117323 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117324 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117325 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117326 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117327 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117328 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117329 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117330 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117331 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117332 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117333 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117334 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117335 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117336 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117337 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117339 -  ..
117340 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117341 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117342 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117343 - evident mild peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117344 - last night on 181011, per above. ref SDS 0 G55K  Began after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117345 - about .5 miles and continued until about mile 2.5, so about 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117346 - Actually, seemed to feel some neuropathy in left foot as well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117347 - ref SDS 0 VVTW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117349 -  ..
117350 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117351 - depleted, but only minor, so did not take naproxen 250 mg in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117352 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117354 -  ..
117355 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117356 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117358 -  ..
117359 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117360 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117361 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117363 -  ..
117364 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117365 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117366 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117367 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117369 -  ..
117370 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117371 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117373 -  ..
117374 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117375 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117376 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117377 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117378 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117380 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117381 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117382 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117383 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117384 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117385 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117386 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117387 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117388 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117389 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117390 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117391 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117392 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117393 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117394 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117395 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117396 -        again today.................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117398 -  ..
117399 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117400 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117401 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117402 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117404 -  ..
117405 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117406 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117408 -  ..
117409 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117410 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117412 -  ..
117413 - Hip left, pain level 0 entire hike, because did not hike on sloped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117414 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117416 -  ..
117417 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117418 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117419 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117420 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117422 -  ..
117423 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117424 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117425 - good.  Calfs pain level 0.  Left foot tailor's bunion pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117426 - entire hike.  Metatarsalgia left foot pain level 0, right foot pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117427 - level 0.  About mile .5 mild peripheral neuropathy right foot.  There                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117428 - seemed also to be slight amount of neuropathy in left foot also today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117429 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117430 - concrete sidewalk.  About mile 2.5 neuropathy right foot seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117431 - subsided.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117432 - to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117433 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117434 - flow.  Time mile 4.25 66 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117435 - going West against no wind.  At mile 4.75 pain level 0, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117436 - corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117437 - 1 mile uphill.  At summit maintained pace on flat ground.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117438 - down steep hill toward Rolling Woods Way normal pace, today.  Left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117439 - right knees pain level 0 entire distance.  Indicates PRP treatments                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117440 - most recently on 180824 1515, ref SDS A8 0001, effective preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117441 - osteoarthritis.  No blisters and pain level 0 calluses both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117442 - indicating effective protection wearing Smartwool socks received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117443 - 180530 0726, ref SDS 92 9O6X, Turned onto Rolling Woods Way.  Going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117444 - steep hill felt strong - increased pace for .3 miles breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117445 - nose entire distance.  Going downhill slowed pace.  Left and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117446 - knee pain level 0.  Turned corner onto Pine Hollow and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117447 - hiking 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117448 - Ranch Road about 1 mile.  Increased pace hiking uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117449 - Cowell.  Turned corner and hiked on Cowell downhill back to Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117450 - then home for 11 miles.  This was very good hike, no pain any time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117452 -  ..
117453 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117454 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117455 - Dinner - asparagus onion salmon tomato avocado celery mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117456 - chips cashews                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117458 -  ..
117459 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117462 -         ..
117463 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117464 -  288.  181013 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117465 -               0810....BP HR..................................................... 127  72  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117466 -               0815....BP HR..................................................... 122  68  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117467 -               0820....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117468 -               0820... 20 16860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117469 -               0820... 80 94980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117470 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117471 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117472 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117473 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117474 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117475 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117476 -         **    0840....pushups......       20  2080 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117477 -          * cr 0950....miles...........  17.0  72.00  261 1080 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117478 -               1430....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117479 -               1440....BP HR..................................................... 114  74 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117480 -               1445....BP HR..................................................... 111  72 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117481 -               1625... 40 37420 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117482 -               1820............ 10 10830  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117483 -               1820............ 10 10420  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117484 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117485 -               1830... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117486 -               1930... 40 16600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117487 -               2010... 1000  274000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117488 -               2150... 80 95060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117489 -               0000... Naproxen (Aleve) 1 pill 250  63600 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117491 -  ..
117492 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117494 -  ..
117495 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117496 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117497 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117498 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117499 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117500 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117501 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117503 -  ..
117504 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117506 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117507 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117508 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117509 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117510 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117512 -  ..
117513 - Blood pressure good and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117514 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117515 - and after hiking 11 miles yesterday. per above. ref SDS 0 4H8K  BP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117516 - okay and heart rate okay after hiking 17 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117518 -  ..
117519 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117520 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117521 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117522 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117523 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117524 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117526 -  ..
117527 - Weight - 176 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117528 - eating less yesterday.  After hiking 11 miles, weight 169, lost 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117529 - pounds. ref SDS 0 1Y5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117531 -  ..
117532 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117533 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117534 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117535 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117536 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117537 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117538 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117539 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117540 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117541 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117542 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117543 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117544 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117545 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117546 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117547 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117548 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117549 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117550 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117552 -                                                    Pain Level   Day
117553 -         ..
117554 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117555 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117556 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117557 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117558 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117559 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117560 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117561 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117562 -        Tailor's Bunion left foot....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117563 -        Tailor's Bunion right foot...................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117564 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117565 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117566 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117567 -        Callus big toe left foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117568 -        Callus big toe right foot....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117569 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117570 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117571 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117573 -  ..
117574 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117575 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117576 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117577 - no evident mild peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117578 - statins last night on 181012, per above. ref SDS 0 4H8K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117580 -  ..
117581 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117582 - depleted, but only minor, so did not take naproxen 250 mg in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117583 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117585 -  ..
117586 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117587 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117589 -  ..
117590 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117591 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117592 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117594 -  ..
117595 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117596 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117597 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117598 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117600 -  ..
117601 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117602 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117604 -  ..
117605 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117606 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117607 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117608 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117609 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117611 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117612 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117613 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117614 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117615 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117616 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117617 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117618 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117619 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117620 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117621 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117622 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117623 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117624 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117625 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117626 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117627 -        again today.................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117629 -  ..
117630 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117631 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117632 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117633 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117635 -  ..
117636 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117637 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117639 -  ..
117640 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117641 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117643 -  ..
117644 - Hip left, pain level 2 hiking slopped shoulder on Oak Grove about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117645 - 16 for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117647 -  ..
117648 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117649 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117650 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117651 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117653 -  ..
117654 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117655 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117656 - good.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117657 - hiking concrete sidewalk.  Ran about 200 yards in parking lot of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117658 - shopping area Lucky Grocery store.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117659 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117660 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117661 - against Eastbound traffic flow.  Time mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117662 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117663 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117664 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117665 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117666 - normal pace, today.  Turned onto Rolling Woods Way.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117667 - hill felt strong - increased pace for .3 miles breathing through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117668 - entire distance.  Going downhill normal pace.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117669 - Hollow and increased pace hiking 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117670 - Hiked West back to Crystal Ranch Road about 1 mile.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117671 - hiked 4-mile loop again, similarly to 1st loop with good pace.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117672 - completing 2nd loop, increased pace hiking uphill 1 mile to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117673 - Continued uphill to summit Ygnacio Valley Road.  Slowed pace slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117674 - going downhill 2 miles to Oak Grove.  Turned corner - beginning to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117675 - feel calluses on big toes both feet, and tailor's bunyion injuries to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117676 - both feet - hiked 1 mile to Treat.  Kathy drove us home for 17 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117677 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117679 -  ..
117680 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117681 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117682 - Dinner - pasta hamburger onion mushrooms cheese brocolli cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117684 -  ..
117685 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117690 -         ..
117691 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117692 -  289.  181014 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117693 -               0700....BP HR..................................................... 126  68  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117694 -               0715....BP HR..................................................... 120  63  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117695 -               0720....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117696 -               0720... 20 16860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117697 -               0720... 80 94980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117698 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117699 -               0000... Naproxen (Aleve) 1 pill 250  63350                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117700 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117701 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117702 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117703 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117704 -         **    0730....pushups......       20  2100 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117705 -          * cr 0800....miles...........  18.0  90.00  274 1354 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117706 -               1255....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117707 -               1305....BP HR..................................................... 124  70  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117708 -               1310....BP HR..................................................... 113  70  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117709 -               1550... Naproxen (Aleve) 1 pill 250  63850 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117710 -               1625... 40 37420 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117711 -             1 0000............ 10 10830  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117712 -             1 0000............ 10 10420  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117713 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117714 -               1830... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117715 -               1930... 40 16600 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117716 -               2010... 1000  274000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117717 -               2150... 80 95060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117719 -  ..
117720 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117722 -  ..
117723 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117724 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117725 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117726 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117727 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117728 - suddenly increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117729 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117731 -  ..
117732 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117734 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117735 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117736 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117737 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117738 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117740 -  ..
117741 - Blood pressure good and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117742 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117743 - and after hiking 11 miles yesterday. per above. ref SDS 0 1Y5M okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117744 - and heart rate okay after hiking 17 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117746 -  ..
117747 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117748 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117749 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117750 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117751 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117752 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117754 -  ..
117755 - Weight - 176 this morning after hiking 17 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117756 - eating less yesterday.  After hiking 11 miles, weight 169, lost 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117757 - pounds. ref SDS 0 1Y5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117759 -  ..
117760 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117761 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117762 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117763 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117764 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117765 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117766 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117767 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117768 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117769 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117770 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117771 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117772 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117773 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117774 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117775 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117776 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117777 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117778 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117780 -                                                    Pain Level   Day
117781 -         ..
117782 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117783 -        Hip left.....................................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117784 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117785 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117786 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117787 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117788 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117789 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117790 -        Tailor's Bunion left foot....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117791 -        Tailor's Bunion right foot...................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117792 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117793 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117794 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117795 -        Callus big toe left foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117796 -        Callus big toe right foot....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117797 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117798 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117799 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117801 -  ..
117802 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117803 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117804 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117805 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117806 - last night on 181013, per above. ref SDS 0 1Y5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117808 -  ..
117809 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117810 - depleted, so took naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117812 -  ..
117813 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117814 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117816 -  ..
117817 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117818 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117819 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117821 -  ..
117822 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117823 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117824 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117825 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117827 -  ..
117828 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117829 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117831 -  ..
117832 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117833 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117834 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117835 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117836 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117838 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117839 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117840 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117841 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117842 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117843 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117844 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117845 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117846 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117847 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117848 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117849 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117850 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117851 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117852 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117853 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117854 -        again today.................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117856 -  ..
117857 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117858 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117859 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117860 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117862 -  ..
117863 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117864 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117866 -  ..
117867 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117868 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117870 -  ..
117871 - Hip left, pain level 2 hiking slopped shoulder on Oak Grove about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117872 - 16 for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117874 -  ..
117875 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117876 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117877 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117878 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117879 - Felt these injuries to sides of both feet about mile 16 at corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117880 - Ygnacio Valley Road and Oak Grove.  Hiked 1 more mile to Treat, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117881 - hiked another mile later.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117883 -  ..
117884 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117885 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117886 - good.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117887 - hiking concrete sidewalk.  Ran about 200 yards in parking lot of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117888 - shopping area Lucky Grocery store.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117889 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117890 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117891 - against Eastbound traffic flow.  Time mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117892 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117893 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117894 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117895 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117896 - normal pace, today.  Turned onto Rolling Woods Way.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117897 - hill felt strong - increased pace for .3 miles.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117898 - pace.  Turned corner onto Pine Hollow and increased pace hiking 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117899 - back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117900 - about 1 mile.  Turned corner and hiked 4-mile loop again, similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117901 - 1st loop with good pace.  After completing 2nd loop, increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117902 - hiking uphill 1 mile to Cowell.  Continued uphill to summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117903 - Valley Road.  Increased pace slightly jogging downhill 2 miles to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117904 - Grove.  Turned corner - beginning to feel calluses on big toes both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117905 - feet, and tailor's bunyion injuries to both feet.  Called Kathy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117906 - meet at corner Treat and Oak Grove.  Hiked 1 mile to Treat.  Met Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117907 - and drove home.  Later walked another mile for 18 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117909 -  ..
117910 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117911 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117912 - Dinner - pasta hamburger onion mushrooms cheese brocolli cauliflower,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117913 - garlic bread                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117915 -  ..
117916 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117920 -         ..
117921 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117922 -  290.  181015 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117923 -               0840....BP HR..................................................... 133  72  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117924 -               0845....BP HR..................................................... 135  67  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117925 -               0850....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117926 -               0850... 20 16880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117927 -               0850... 80 95140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117928 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117929 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117930 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117931 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117932 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117933 -         **    0730....pushups......       20  2120 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117934 -          * cr 1130....miles...........  17.0  17.00  261  261 minutes temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117935 -               1605....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117936 -               1610....BP HR..................................................... 120  74 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117937 -               1615....BP HR..................................................... 126  76  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117938 -               0000... Naproxen (Aleve) 1 pill 250  63850 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117939 -               1705... 40 37460 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117940 -               1800............ 10 10840  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117941 -               1800............ 10 10430  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117942 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117943 -               1830... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117944 -               1930... 40 16640 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117945 -               2010... 1000  275000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117946 -               2150... 80 95220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117948 -  ..
117949 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117951 -  ..
117952 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117953 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117954 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117955 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117956 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117957 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117958 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117960 -  ..
117961 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117963 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117964 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117965 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117966 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117967 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117969 -  ..
117970 - Blood pressure poor and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117971 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117972 - and after hiking 17 miles yesterday. per above. ref SDS 0 1Y5M  BP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117973 - poor and heart rate poor after hiking 17 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117975 -  ..
117976 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117977 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117978 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117979 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117980 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117981 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117983 -  ..
117984 - Weight - 179 this morning after hiking 17 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117985 - eating more yesterday. ref SDS 0 WQSU  After hiking 11 miles, weight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117986 - 172, lost 7 pounds. ref SDS 0 YS7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117988 -  ..
117989 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117990 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117991 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117992 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117993 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117994 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117995 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117996 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117997 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117998 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117999 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118000 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118001 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118002 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118003 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118004 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118005 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118006 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118007 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118009 -                                                    Pain Level   Day
118010 -         ..
118011 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118012 -        Hip left.....................................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118013 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118014 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118015 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118016 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118017 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118018 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118019 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118020 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118021 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118022 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118023 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118024 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118025 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118026 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118027 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118028 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118030 -  ..
118031 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118032 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118033 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118034 - evident mild peripheral neuropathy in right foot despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118035 - statins last night on 181014, per above. ref SDS 0 I84N  Along Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118036 - after about 1 mile and for about .5 miles; later on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118037 - Road about mile 3.5 for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118039 -  ..
118040 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118041 - depleted, so took naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118043 -  ..
118044 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118045 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118047 -  ..
118048 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118049 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118050 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118052 -  ..
118053 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118054 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118055 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118056 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118058 -  ..
118059 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118060 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118062 -  ..
118063 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118064 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118065 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118066 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118067 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118069 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118070 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118071 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118072 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118073 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118074 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118075 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118076 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118077 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118078 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118079 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118080 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118081 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118082 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118083 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118084 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118085 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118086 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118088 -  ..
118089 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118090 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118091 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118092 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118094 -  ..
118095 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118096 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118098 -  ..
118099 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118100 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118102 -  ..
118103 - Hip left, pain level 2 hiking slopped shoulder on Oak Grove about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118104 - 16 for about .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118106 -  ..
118107 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118108 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118109 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118110 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118111 - Did not feel these injuries to either foot during entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118113 -  ..
118114 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118115 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118116 - good.  Time to 1.25 miles 19 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118117 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118118 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118119 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118120 - Eastbound traffic flow.  Time mile 4.25 64 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118121 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118122 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118123 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118124 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118125 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118126 - strong - increased pace for .3 miles.  Going downhill normal pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118127 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118128 - to Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118129 - mile.  Turned corner and hiked another 4-mile loop again, similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118130 - 1st loop with good pace.  Interesting no leg muscle fatigue, no feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118131 - nor knee pain.  After completing 2nd loop, increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118132 - uphill 1 mile to Cowell.  Continued uphill to summit Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118133 - Road.  Increased pace slightly jogging downhill 2 miles to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118134 - Turned corner - beginning to feel calluses on big toes both feet, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118135 - tailor's bunyion injuries to both feet.  Called Kathy to meet at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118136 - corner Treat and Oak Grove.  Hiked 1 mile to Treat along roadway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118137 - shoulder sloped down left to right.  Caused pain level 3 left hip for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118138 - about .5 miles.  Met Kathy and drove home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118140 -  ..
118141 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118142 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118143 - Dinner - lettuce pasta onion avocado tomato celery cumcumber carrots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118145 -  ..
118146 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118150 -         ..
118151 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118152 -  291.  181016 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118153 -               0820....BP HR..................................................... 137  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118154 -               0825....BP HR..................................................... 136  70  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118155 -               0830....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118156 -               0830... 20 16900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118157 -               0830... 80 95300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118158 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118159 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118160 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118161 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118162 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118163 -         **    0830....pushups......       20  2140 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118164 -          * cr 1155....miles...........  11.0  28.00  167  428 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118165 -               1510....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118166 -               1515....BP HR..................................................... 116  69  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118167 -               1520....BP HR..................................................... 109  63  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118168 -               0000... Naproxen (Aleve) 1 pill 250  63850 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118169 -               1610... 40 37500 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118170 -             1 0000............ 10 10840  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118171 -             1 0000............ 10 10430  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118172 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118173 -               1820... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118174 -               1930... 40 16680 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118175 -               1950... 1000  276000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118176 -               2100... 80 95380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118178 -  ..
118179 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118181 -  ..
118182 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118183 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118184 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118185 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118186 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118187 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118188 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118190 -  ..
118191 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118193 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118194 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118195 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118196 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118197 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118199 -  ..
118200 - Blood pressure poor and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118201 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118202 - and after hiking 17 miles yesterday. per above. ref SDS 0 YS7M  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118203 - heart rate okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118205 -  ..
118206 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118207 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118208 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118209 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118210 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118211 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118213 -  ..
118214 - Weight - 175 this morning after hiking 17 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118215 - eating less yesterday on 181015, per above. ref SDS 0 CX9M  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118216 - hiking 11 miles, weight 170, lost 5 pounds. ref SDS 0 UF4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118218 -  ..
118219 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118220 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118221 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118222 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118223 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118224 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118225 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118226 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118227 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118228 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118229 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118230 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118231 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118232 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118233 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118234 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118235 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118236 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118237 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118239 -                                                    Pain Level   Day
118240 -         ..
118241 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118242 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118243 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118244 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118245 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118246 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118247 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118248 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118249 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118250 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118251 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118252 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118253 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118254 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118255 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118256 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118257 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118258 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118260 -  ..
118261 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118262 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118263 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118264 - minimal peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118265 - night on 181015, per above. ref SDS 0 YS7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118267 -  ..
118268 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118269 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118271 -  ..
118272 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118273 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118275 -  ..
118276 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118277 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118278 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118280 -  ..
118281 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118282 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118283 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118284 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118286 -  ..
118287 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118288 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118290 -  ..
118291 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118292 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118293 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118294 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118295 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118297 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118298 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118299 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118300 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118301 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118302 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118303 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118304 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118305 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118306 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118307 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118308 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118309 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118310 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118311 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118312 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118313 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118314 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118316 -  ..
118317 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118318 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118319 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118320 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118322 -  ..
118323 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118324 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118326 -  ..
118327 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118328 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118330 -  ..
118331 - Hip left, pain level 0 entire hike, did not go over hill on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118332 - Valley Road and turn right onto Oak Grove, so avoided hiking slopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118333 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118335 -  ..
118336 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118337 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118338 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118339 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118340 - Did not feel these injuries to either foot during entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118342 -  ..
118343 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118344 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118345 - good.  Time to 1.25 miles 19 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118346 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118347 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118348 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118349 - Eastbound traffic flow.  Time mile 4.25 64 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118350 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118351 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118352 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118353 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118354 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118355 - strong - increased pace for .3 miles.  Going downhill normal pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118356 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118357 - to Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118358 - mile.  Increased pace hiking uphill 1 mile to Cowell.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118359 - onto Cowell and hiked 1 mile to Treat, then hiked home.  Nice having                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118360 - no pain in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118362 -  ..
118363 - Breakfast - ensure half banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118364 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118365 - Dinner - lettuce onion hot dog avocado tomato celery cumcumber carrots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118367 -  ..
118368 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118372 -         ..
118373 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118374 -  292.  181017 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118375 -               0900....BP HR..................................................... 130  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118376 -               0905....BP HR..................................................... 120  71  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118377 -               0910....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118378 -               0910... 20 16920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118379 -               0910... 80 95460 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118380 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118381 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118382 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118383 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118384 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118385 -         **    0930....pushups......       20  2160 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118386 -          * cr 1020....miles...........  11.0  39.00  168  596 minutes temp  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118387 -               1320....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118388 -               1340....BP HR..................................................... 107  69 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118389 -               1345....BP HR..................................................... 103  67  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118390 -               0000... Naproxen (Aleve) 1 pill 250  63850 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118391 -               1610... 40 37540 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118392 -               1800............ 10 10850  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118393 -               1800............ 10 10440  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118394 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118395 -               1810... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118396 -               1930... 40 16720 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118397 -               1950... 1000  277000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118398 -               2100... 80 95540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118400 -  ..
118401 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118403 -  ..
118404 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118405 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118406 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118407 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118408 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118409 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118410 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118412 -  ..
118413 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118415 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118416 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118417 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118418 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118419 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118421 -  ..
118422 - Blood pressure good and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118423 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118424 - and after hiking 11 miles yesterday. per above. ref SDS 0 UF4O  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118425 - heart rate okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118427 -  ..
118428 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118429 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118430 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118431 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118432 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118433 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118435 -  ..
118436 - Weight - 175 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118437 - eating less yesterday on 181016, per above. ref SDS 0 WUYY  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118438 - hiking 11 miles, weight 171, lost 4 pounds. ref SDS 0 SD3F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118440 -  ..
118441 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118442 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118443 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118444 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118445 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118446 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118447 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118448 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118449 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118450 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118451 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118452 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118453 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118454 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118455 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118456 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118457 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118458 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118459 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118461 -                                                    Pain Level   Day
118462 -         ..
118463 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118464 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118465 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118466 -        Knee left....................................   3          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118467 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118468 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118469 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118470 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118471 -        Tailor's Bunion left foot....................   3          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118472 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118473 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118474 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118475 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118476 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118477 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118478 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118479 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118480 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118482 -  ..
118483 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118484 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118485 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118486 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118487 - statins last night on 181016, per above. ref SDS 0 UF4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118489 -  ..
118490 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118491 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118493 -  ..
118494 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118495 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118497 -  ..
118498 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118499 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118500 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118502 -  ..
118503 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118504 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118505 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118506 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118508 -  ..
118509 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118510 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118512 -  ..
118513 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118514 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118515 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118516 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118517 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118519 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118520 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118521 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118522 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118523 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118524 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118525 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118526 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118527 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118528 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118529 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118530 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118531 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118532 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118533 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118534 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118535 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118536 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118538 -  ..
118539 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118540 - ref SDS 0 PE6F  This was a problem after 10 miles, causing stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118541 - hike at 11 miles, rather than go over the summit and do 18.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118542 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118544 -  ..
118545 - Left knee - pain 0 level 98% of entire hike, after treatment with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118546 - on 180824 1515. ref SDS A8 0001  There were 2 instances where left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118547 - knee had sudden significant pain for about 10 yards, and at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118548 - approximate ACL location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118550 -  ..
118551 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118552 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118554 -  ..
118555 - Hip left, pain level 0 entire hike, did not go over hill on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118556 - Valley Road and turn right onto Oak Grove, so avoided hiking slopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118557 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118559 -  ..
118560 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118561 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118562 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118563 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118564 - After turning corner from Pine Hollow to Ygnacio Valley Road on 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118565 - lap Crystal Ranch Road, pain level 3 left foot, so did not do 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118566 - lap.  Hiking uphill to Cowell, pain subsided to level 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118568 -  ..
118569 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118570 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118571 - good.  Time to 1.25 miles 19 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118572 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118573 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118574 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118575 - Eastbound traffic flow.  Time mile 4.25 64 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118576 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118577 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118578 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118579 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118580 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118581 - strong - increased pace for .3 miles.  Going downhill normal pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118582 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118583 - to Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118584 - mile.  Pain level 3 on tailor's bunion left foot, so did not turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118585 - corner and do 2nd lap on Crystal Ranch Road.  Hiking uphill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118586 - Cowell, pain left foot subsided, so increased pace.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118587 - onto Cowell and hiked 1 mile - sprinted 200 yards to make street light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118588 - at Treat, then hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118590 -  ..
118591 - Breakfast - ensure banana few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118592 - Lunch - sandwich roast beef - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118593 - Dinner - lettuce onion avocado tomato celery cumcumber carrots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118595 -  ..
118596 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118600 -         ..
118601 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118602 -  293.  181018 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118603 -               0700....BP HR..................................................... 135  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118604 -               0705....BP HR..................................................... 128  72  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118605 -               0710....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118606 -               0710... 20 16940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118607 -               0710... 80 95620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118608 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118609 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118610 -               0710....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118611 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118612 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118613 -         **    0830....pushups......       20  2180 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118614 -          * cr 1125....miles...........  15.0  54.00  230  826 minutes temp  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118615 -               1545....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118616 -               1550....BP HR..................................................... 102  67 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118617 -               1555....BP HR.....................................................  96  68 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118618 -               0000... Naproxen (Aleve) 1 pill 250  63850 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118619 -               1610... 40 37580 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118620 -             1 0000............ 10 10850  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118621 -             1 0000............ 10 10440  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118622 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118623 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118624 -               1920... 40 16760 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118625 -               1950... 1000  278000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118626 -               2120... 80 95700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118628 -  ..
118629 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118631 -  ..
118632 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118633 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118634 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118635 - Wilker that his pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118636 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118637 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118638 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118640 -  ..
118641 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118643 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118644 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118645 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118646 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118647 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118649 -  ..
118650 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118651 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118652 - and after hiking 11 miles yesterday. per above. ref SDS 0 SD3F  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118653 - heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118655 -  ..
118656 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118657 - this morning - big improvement from 180811, per above. ref SDS 0 TVWY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118658 - This occurred today, after treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118659 - ref SDS B1 RS5F  This follows up letter to Doctor Wiseman requesting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118660 - BPPV treatment, reported on 180916, after noticing wobbly/dizzy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118661 - feeling on Subdome hiking Half Dome on 180912.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118663 -  ..
118664 - Weight - 177 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118665 - eating more yesterday on 181016, per above. ref SDS 0 WXQR  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118666 - hiking 15 miles, weight 169, lost 9 pounds. ref SDS 0 GG5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118668 -  ..
118669 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118670 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118671 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118672 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118673 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118674 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118675 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118676 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118677 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118678 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118679 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118680 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118681 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118682 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118683 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118684 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118685 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118686 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118687 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118689 -                                                    Pain Level   Day
118690 -         ..
118691 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118692 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118693 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118694 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118695 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118696 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118697 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118698 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118699 -        Tailor's Bunion left foot....................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118700 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118701 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118702 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118703 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118704 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118705 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118706 -        Blister below big toe right foot.............   3          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118707 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118708 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118710 -  ..
118711 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118712 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118713 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118714 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118715 - night on 181017, per above. ref SDS 0 SD3F  This was mild starting on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118716 - Treat for about .25 miles, then again on Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118717 - 4 for about .25 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118719 -  ..
118720 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118721 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118723 -  ..
118724 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118725 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118727 -  ..
118728 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118729 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118730 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118732 -  ..
118733 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118734 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118735 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118736 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118738 -  ..
118739 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118740 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118742 -  ..
118743 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118744 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118745 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118746 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118747 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118749 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118750 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118751 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118752 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118753 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118754 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118755 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118756 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118757 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118758 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118759 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118760 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118761 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118762 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118763 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118764 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118765 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118766 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118768 -  ..
118769 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118770 - ref SDS 0 PE6F  This was a problem after 13 miles, partway on 2nd lap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118771 - Crystal Ranch 4-mile loop.  Finished hike.  Relied on smartwool socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118772 - and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118774 -  ..
118775 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118776 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118777 - location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118779 -  ..
118780 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118781 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118783 -  ..
118784 - Hip left, pain level 0 entire hike, did not go over hill on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118785 - Valley Road and turn right onto Oak Grove, so avoided hiking slopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118786 - shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118788 -  ..
118789 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118790 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118791 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118792 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118793 - After turning corner from Pine Hollow to Ygnacio Valley Road on 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118794 - lap Crystal Ranch Road, pain level 3 left foot for about .5 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118795 - then subsided, so turned onto Crystal Ranch Road and did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118796 - loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118798 -  ..
118799 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118800 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118801 - good.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118802 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118803 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118804 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118805 - Eastbound traffic flow.  Time mile 4.25 65 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118806 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118807 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118808 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118809 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118810 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118811 - strong - increased pace for .3 miles.  Going downhill normal pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118812 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118813 - to Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118814 - mile.  Pain level 3 on tailor's bunion left foot for only about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118815 - miles, then subsided.  Turned corner onto Crystal Ranch Road and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118816 - another 4-mile loop, similar to the first loop.  After completing 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118817 - loop, hiking uphill 1 mile to Cowell.  Turned corner onto Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118818 - hiked 1 mile to Treat, then hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118820 -  ..
118821 - Breakfast - ensure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118822 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118823 - Dinner - lettuce onion avocado tomato celery cumcumber carrots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118825 -  ..
118826 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118831 -         ..
118832 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118833 -  294.  181019 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118834 -               0810....BP HR..................................................... 119  70  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118835 -               0815....BP HR..................................................... 111  65  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118836 -               0820....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118837 -               0820... 20 16940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118838 -               0820... 80 95780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118839 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118840 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118841 -               0710....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118842 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118843 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118844 -         **    0830....pushups......       20  2180 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118845 -          * cr 1115....miles...........  11.0  65.00  169  995 minutes temp  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118846 -               1440....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118847 -               1450....BP HR.....................................................  96  69 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118848 -               1455....BP HR..................................................... 101  67  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118849 -               0000... Naproxen (Aleve) 1 pill 250  63850 - legs feel anxious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118850 -               1530... 40 37620 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118851 -               1830............ 10 10860  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118852 -               1830............ 10 10450  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118853 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118854 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118855 -               1930... 40 16800 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118856 -               2020... 1000  279000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118857 -               2210... 80 95960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118859 -  ..
118860 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118862 -  ..
118863 - ** Pushups reduced because of sharp pain running from base of skull on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118864 - right side down right side of vertebrate about 6".  This is similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118865 - pain following car accident.  In June reported to Neuro Surgery Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118866 - Wilker that this pain has resolved, reported on 180625 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118867 - ref SDS 95 XZ5F  A few weeks later it returned.  The past few days it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118868 - suddently increased significantly.  May have caused re-injury.  So                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118869 - today, reduced pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118871 -  ..
118872 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118874 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118875 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118876 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118877 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118878 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118880 -  ..
118881 - Blood pressure very good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118882 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118883 - last night, and after hiking 15 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118884 - ref SDS 0 GG5N  BP and heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118886 -  ..
118887 - BPPV - dizziness - noticably wobbly and dizzy getting up from bed this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118888 - morning - 1st time since treatment by Doctor Wiseman on 180919 0800.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118889 - ref SDS B1 RS5F  Sitting in a chair at desk entering this record,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118890 - turning head left and right causes slight dizziness.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118892 -  ..
118893 - Weight - 174 this morning after hiking 15 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118894 - eating less yesterday on 181018, per above. ref SDS 0 XPTV  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118895 - hiking 11 miles, weight 170, lost 4 pounds. ref SDS 0 JY8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118897 -  ..
118898 - Pain medication - none - PRP treatment on 180824 1515, ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118899 - 0001, reduced need for pain medication, and cannot take NSAID, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118900 - naproxen and ibuprofen.  Took 2nd hydrocodone 5mg with acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118901 - 325 mg after reaching Wood Bride about mile 26.  Reduces risk of daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118902 - acetaminophen 1000 mg causing intoxication that lowers HDL for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118903 - today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118904 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118905 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118906 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118907 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118908 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118909 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118910 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118911 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118912 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118913 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118914 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118915 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118916 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118918 -                                                    Pain Level   Day
118919 -         ..
118920 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118921 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118922 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118923 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118924 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118925 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118926 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118927 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118928 -        Tailor's Bunion left foot....................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118929 -        Tailor's Bunion right foot...................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118930 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118931 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118932 -        Metatarsalgia right foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118933 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118934 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118935 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118936 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118937 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118939 -  ..
118940 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118941 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118942 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118943 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118944 - statins last night on 181018, per above. ref SDS 0 GG5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118946 -  ..
118947 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118948 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118950 -  ..
118951 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118952 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118954 -  ..
118955 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118956 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118957 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118959 -  ..
118960 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118961 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118962 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118963 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118965 -  ..
118966 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118967 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118969 -  ..
118970 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118971 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118972 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118973 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118974 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118976 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118977 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118978 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118979 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118980 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118981 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118982 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118983 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118984 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118985 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118986 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118987 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118988 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118989 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118990 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118991 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118992 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118993 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118995 -  ..
118996 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118997 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118998 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119000 -  ..
119001 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119002 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119003 - location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119005 -  ..
119006 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119007 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119009 -  ..
119010 - Hip left, pain level 0 entire hike - did not go over hill on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119011 - Valley Road and turn right onto Oak Grove, so avoided hiking slopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119012 - shoulders that caused left hip pain on 181015, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119013 - WSRW  First reported on 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119015 -  ..
119016 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119017 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119018 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119019 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119020 - After turning corner from Pine Hollow to Ygnacio Valley Road on 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119021 - lap Crystal Ranch Road, pain level 3 left foot for about .5 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119022 - then subsided, so turned onto Crystal Ranch Road and did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119023 - loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119025 -  ..
119026 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119027 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119028 - okay.  Time to 1.25 miles 19 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119029 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119030 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119031 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119032 - Eastbound traffic flow.  Time mile 4.25 69 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119033 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119034 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119035 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119036 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119037 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119038 - strong - increased pace for .3 miles.  Going downhill normal pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119039 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119040 - to Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119041 - mile.  Pain level 3 on tailor's bunion left foot for only about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119042 - miles, then subsided.  Hiked uphill 1 mile to Cowell.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119043 - onto Cowell and hiked 1 mile to Treat.  Sprinted 200 yards to make                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119044 - green light crossing Treat, then hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119046 -  ..
119047 - Breakfast - ensure cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119048 - Lunch - sandwich roast beef - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119049 - Dinner - lettuce onion avocado tomato celery cumcumber carrots, toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119051 -  ..
119052 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119056 -         ..
119057 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119058 -  295.  181020 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119059 -               0830....BP HR..................................................... 127  69  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119060 -               0835....BP HR..................................................... 126  66  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119061 -               0840....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119062 -               0840... 20 16960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119063 -               0840... 80 95940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119064 -               0840... Naproxen (Aleve) 1 pill 250  64100 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119065 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119066 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119067 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119068 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119069 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119070 -        ***    0930....pushups......       40  2220 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119071 -          * cr 1140....miles...........  15.0  80.00  232 1227 minutes temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119072 -               1500....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119073 -               1505....BP HR..................................................... 111  70  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119074 -               1510....BP HR..................................................... 101  72  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119075 -               1630... 40 37660 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119076 -             1 0000............ 10 10860  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119077 -             1 0000............ 10 10450  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119078 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119079 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119080 -               1930... 40 16840 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119081 -               2020... 1000  280000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119082 -               2210... 80 96100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119084 -  ..
119085 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119087 -  ..
119088 - *** Pushups trying regular military pushups with feet elevated on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119089 - chair, today on 181020, because sharp pain running from base of skull                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119090 - on right side down right side of vertebrate about 6", has resolved,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119091 - since reported on 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119092 - during hike, but it returned after hike sitting in chair, so tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119093 - will skip military pushups again for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119095 -  ..
119096 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119098 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119099 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119100 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119101 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119102 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119104 -  ..
119105 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119106 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119107 - and after hiking 11 miles yesterday. per above. ref SDS 0 JY8O  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119108 - heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119110 -  ..
119111 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119112 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119113 - 0800. ref SDS B1 RS5F  Significant improvement from yesterday, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119114 - 181019, per above. ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119116 -  ..
119117 - Weight - 176 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119118 - eating more yesterday on 181019, per above. ref SDS 0 XRWU  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119119 - hiking 15 miles, weight 171, lost 5 pounds. ref SDS 0 HN5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119121 -  ..
119122 - Pain medication - Naproxen 250 mg this morning to enable hiking 15+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119123 - miles by suppressing pain - worked well, did not feel pain in feet nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119124 - knees.  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119125 - for pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119126 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119127 - seem to wearing off.  Reduces risk of daily acetaminophen 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119128 - causing intoxication that lowers HDL for lab today.  Naproxex 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119129 - 250 mg seems smaller and so reduces risk getting stuck above LESV and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119130 - causing ulceration.  Seemed like Naproxen pill (NSAID which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119131 - with PRP line of care) got stuck on 180702, reported on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119132 - above. ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119133 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119134 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119135 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119136 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119137 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119138 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119139 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119140 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119141 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119142 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119144 -                                                    Pain Level   Day
119145 -         ..
119146 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119147 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119148 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119149 -        Knee left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119150 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119151 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119152 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119153 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119154 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119155 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119156 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119157 -        Electric shocks middle 3 toes right foot.....   2        005                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119158 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119159 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119160 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119161 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119162 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119163 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119164 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119166 -  ..
119167 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119168 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119169 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119170 - no evident peripheral neuropathy in right foot despite taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119171 - last night on 181019, per above. ref SDS 0 JY8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119173 -  ..
119174 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119175 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119177 -  ..
119178 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119179 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119181 -  ..
119182 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119183 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119184 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119186 -  ..
119187 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119188 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119189 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119190 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119192 -  ..
119193 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119194 - today this occurred near end of downhill on Rollinw Woods Way for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119195 - about .25 miles.  Happened again on 2nd loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119197 -  ..
119198 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119199 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119201 -  ..
119202 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119203 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119204 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119205 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119206 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119208 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119209 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119210 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119211 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119212 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119213 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119214 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119215 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119216 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119217 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119218 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119219 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119220 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119221 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119222 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119223 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119224 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119225 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119227 -  ..
119228 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119229 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119230 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119232 -  ..
119233 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119234 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119235 - location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119237 -  ..
119238 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119239 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119241 -  ..
119242 - Hip left, pain level 0 entire hike - did not go over hill on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119243 - Valley Road and turn right onto Oak Grove, so avoided hiking slopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119244 - shoulders that caused left hip pain on 181015, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119245 - WSRW  First reported on 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119247 -  ..
119248 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119249 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119250 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119251 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119252 - No pain entire hike, possibly due to taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119254 -  ..
119255 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119256 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119257 - okay.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119258 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119259 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119260 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119261 - Eastbound traffic flow.  Time mile 4.25 67 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119262 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119263 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119264 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119265 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119266 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119267 - strong - increased pace for .3 miles.  Going downhill normal pace, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119268 - about .25 miles before reaching Pine Hollow, middle 3 toes right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119269 - feel like electrical shocks.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119270 - increased pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119271 - back to Crystal Ranch Road about 1 mile.  Turned corner onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119272 - Ranch Road and did another 4-mile loop, similar to the first loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119273 - After completing 2nd loop, hiked uphill 1 mile to Cowell.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119274 - corner onto Cowell and hiked 1 mile to Treat, then hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119276 -  ..
119277 - Breakfast - ensure cheerios chia seeds milk with Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119278 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119279 - Dinner - squash hot dog pasta hamburger onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119281 -  ..
119282 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119286 -         ..
119287 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119288 -  296.  181021 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119289 -               0740....BP HR..................................................... 127  66  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119290 -               0745....BP HR..................................................... 115  68  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119291 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119292 -               0750... 20 16980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119293 -               0750... 80 96180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119294 -               0840... Naproxen (Aleve) 1 pill 250  64350 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119295 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119296 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119297 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119298 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119299 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119300 -         **    0930....pushups......       20  2260 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119301 -          * cr 0920....miles...........  21.0 101.00  332 1554 minutes temp  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119302 -               1510....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119303 -               1515....BP HR..................................................... 112  82 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119304 -               1520....BP HR..................................................... 117  77 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119305 -               1740... 40 37660 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119306 -               1850............ 10 10870  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119307 -               1850............ 10 10460  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119308 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119309 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119310 -               2000... 40 16880 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119311 -               2040... 1000  281000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119312 -               2200... 80 96260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119314 -  ..
119315 - Lab today testing lipids only for HDL, reported in another record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119316 - 181021 1541. ref SDS B2 U43O  HDL 66 reported lower than 68, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119317 - should have gone up.  Possibly due to increased use of Ensure with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119318 - milk, and taking Naproxen for pain relief.  Actually, research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119319 - indicates Naproxen does not affect HDL levels, however, it does raise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119320 - LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119322 -  ..
119323 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119325 -  ..
119326 - Did 21 miles today, first time ever.  101 miles for week, first time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119327 - over 100 miles in a week, since 2.5 years on 160131, reported in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119328 - study on 160101 0700. ref SDS 37 143K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119330 -  ..
119331 - ** Pushups - paused military pushups with feet elevated on chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119332 - again today on 181021.  Tried them yesterday on 181020, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119333 - HN5K, first time since 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119334 - during hike, but it returned after hike sitting in chair, so today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119335 - will skip military pushups again for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119337 -  ..
119338 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119340 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119341 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119342 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119343 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119344 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119346 -  ..
119347 - Blood pressure very good and heart rate good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119348 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119349 - last night, and after hiking 15 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119350 - ref SDS 0 HN5K  BP and heart rate poor after hiking 21 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119352 -  ..
119353 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119354 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119355 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119356 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119358 -  ..
119359 - Weight - 176 this morning after hiking 15 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119360 - eating less yesterday on 181020, per above. ref SDS 0 XUPQ  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119361 - hiking 21 miles, weight 170, lost 6 pounds. ref SDS 0 6R4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119363 -  ..
119364 - Pain medication - Naproxen 250 mg this morning to enable hiking 15+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119365 - miles by suppressing pain - worked well, did not feel pain in feet nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119366 - knees.  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119367 - for pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119368 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119369 - seem to wearing off.  Reduces risk of daily acetaminophen 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119370 - causing intoxication that lowers HDL for lab today.  Naproxex 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119371 - 250 mg seems smaller and so reduces risk getting stuck above LESV and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119372 - causing ulceration.  Seemed like Naproxen pill (NSAID which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119373 - with PRP line of care) got stuck on 180702, reported on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119374 - above. ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119375 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119376 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119377 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119378 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119379 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119380 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119381 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119382 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119383 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119384 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119386 -                                                    Pain Level   Day
119387 -         ..
119388 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119389 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119390 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119391 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119392 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119393 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119394 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119395 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119396 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119397 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119398 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119399 -        Electric shocks middle 3 toes right foot.....   0        005                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119400 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119401 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119402 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119403 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119404 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119405 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119406 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119408 -  ..
119409 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119410 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119411 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119412 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119413 - statins last night on 181020, per above. ref SDS 0 HN5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119415 -  ..
119416 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119417 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119419 -  ..
119420 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119421 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119423 -  ..
119424 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119425 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119426 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119428 -  ..
119429 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119430 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119431 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119432 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119434 -  ..
119435 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119436 - today this occurred near end of downhill on Rollinw Woods Way for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119437 - about .25 miles.  Happened again on all 3 loops, but less severe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119438 - for less distance, i.e., only a few steps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119440 -  ..
119441 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119442 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119444 -  ..
119445 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119446 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119447 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119448 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119449 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119451 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119452 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119453 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119454 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119455 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119456 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119457 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119458 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119459 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119460 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119461 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119462 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119463 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119464 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119465 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119466 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119467 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119468 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119470 -  ..
119471 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119472 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119473 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119475 -  ..
119476 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119477 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119478 - location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119480 -  ..
119481 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119482 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119484 -  ..
119485 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119486 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119487 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119488 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119489 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119491 -  ..
119492 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119493 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119494 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119495 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119496 - No pain entire hike, possibly due to taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119498 -  ..
119499 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119500 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119501 - okay.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119502 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119503 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119504 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119505 - Eastbound traffic flow.  Time mile 4.25 65 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119506 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119507 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119508 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119509 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119510 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119511 - strong - increased pace for .3 miles.  Going downhill normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119512 - Pine Hollow.  Turned corner onto Pine Hollow and increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119513 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119514 - Road about 1 mile.  Turned corner onto Crystal Ranch Road and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119515 - another 4-mile loop, similar to the first loop.  After completing 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119516 - loop, turned corner again and did 3rd 4-mile loop.  Legs and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119517 - handled this well.  After 3rd-loop, increased pace uphill on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119518 - Valley Road to Cowell.  Felt well, so continued to summit.  Maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119519 - fast pace 2 miles from summit downhill to Oak Grove.  Called Kathy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119520 - Hiked 1 mile to Treat Boulvard for 21 mile hike, and 101 for the week.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119521 - Kathy drove us home for 21 mile hike.  Actually feel better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119522 - after this hike, than on prior hikes past few weeks with much less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119523 - mileage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119525 -  ..
119526 - Breakfast - ensure cheerios chia seeds milk with Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119527 - Lunch - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119528 - Dinner - pizza, 2 small slices no crust and cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119530 -  ..
119531 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119535 -         ..
119536 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119537 -  297.  181022 0630..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119538 -               0635....BP HR..................................................... 138  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119539 -               0640....BP HR..................................................... 123  73  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119540 -               0645....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119541 -               0645... 20 17000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119542 -               0645... 80 96340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119543 -               0645... Naproxen (Aleve) 1 pill 250  64600 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119544 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119545 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119546 -               0645....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119547 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119548 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119549 -         **    0930....pushups......       20  2280 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119550 -          * cr 0720....miles...........  11.0  11.00  166  166 minutes temp  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119551 -               1010....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119552 -               1015....BP HR..................................................... 116  71  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119553 -               1020....BP HR..................................................... 111  66  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119554 -               1740... 40 37700 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119555 -             1 0000............ 10 10870  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119556 -             1 0000............ 10 10460  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119557 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119558 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119559 -               2000... 40 16920 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119560 -               2040... 1000  282000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119561 -               2200... 80 96420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119563 -  ..
119564 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119566 -  ..
119567 - ** Pushups - paused military pushups with feet elevated on chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119568 - again today on 181021.  Tried them yesterday on 181020, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119569 - HN5K, first time since 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119570 - during hike, but it returned after hike sitting in chair, so today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119571 - will skip military pushups again for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119573 -  ..
119574 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119576 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119577 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119578 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119579 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119580 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119582 -  ..
119583 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119584 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119585 - and after hiking 21 miles yesterday. per above. ref SDS 0 6R4L  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119586 - heart rate okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119588 -  ..
119589 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119590 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119591 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119592 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119594 -  ..
119595 - Weight - 175 this morning after hiking 21 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119596 - eating less yesterday on 181021, per above. ref SDS 0 6R4L  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119597 - hiking 11 miles, weight 172, lost 3 pounds. ref SDS 0 HP9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119599 -  ..
119600 - Pain medication - Naproxen 250 mg this morning to enable hiking 15+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119601 - miles by suppressing pain - worked well, did not feel pain in feet nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119602 - knees.  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119603 - for pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119604 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119605 - seem to wearing off.  Reduces risk of daily acetaminophen 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119606 - causing intoxication that lowers HDL for lab today.  Naproxex 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119607 - 250 mg seems smaller and so reduces risk getting stuck above LESV and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119608 - causing ulceration.  Seemed like Naproxen pill (NSAID which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119609 - with PRP line of care) got stuck on 180702, reported on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119610 - above. ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119611 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119612 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119613 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119614 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119615 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119616 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119617 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119618 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119619 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119620 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119622 -                                                    Pain Level   Day
119623 -         ..
119624 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119625 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119626 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119627 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119628 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119629 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119630 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119631 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119632 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119633 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119634 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119635 -        Electric shocks middle 3 toes right foot.....   0        005                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119636 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119637 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119638 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119639 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119640 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119641 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119642 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119644 -  ..
119645 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119646 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119647 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119648 - no evident peripheral neuropathy in right foot despite taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119649 - last night on 181021, per above. ref SDS 0 6R4L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119651 -  ..
119652 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119653 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119655 -  ..
119656 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119657 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119659 -  ..
119660 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119661 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119662 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119664 -  ..
119665 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119666 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119667 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119668 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119670 -  ..
119671 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119672 - today this occurred near end of downhill on Rollinw Woods Way for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119673 - about .25 miles.  Happened again on all 3 loops, but less severe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119674 - for less distance, i.e., only a few steps.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119676 -  ..
119677 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119678 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119680 -  ..
119681 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119682 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119683 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119684 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119685 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119687 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119688 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119689 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119690 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119691 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119692 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119693 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119694 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119695 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119696 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119697 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119698 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119699 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119700 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119701 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119702 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119703 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119704 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119706 -  ..
119707 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119708 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119709 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119711 -  ..
119712 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119713 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119714 - location.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119716 -  ..
119717 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119718 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119720 -  ..
119721 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119722 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119723 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119724 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119725 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119727 -  ..
119728 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119729 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119730 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119731 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119732 - No pain entire hike, possibly due to taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119734 -  ..
119735 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119736 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119737 - okay.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119738 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119739 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119740 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119741 - Eastbound traffic flow.  Time mile 4.25 65 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119742 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119743 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119744 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119745 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119746 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119747 - strong - increased pace for .3 miles.  Going downhill normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119748 - Pine Hollow.  Turned corner onto Pine Hollow and increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119749 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119750 - Road about 1 mile.  Increased pace uphill on Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119751 - Cowell.  Turned right and hiked 1 mile back to Treat, turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119752 - and hiked home for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119754 -  ..
119755 - Breakfast - ensure with Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119756 - Lunch - peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119757 - Dinner - spaghetti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119759 -  ..
119760 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119764 -         ..
119765 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119766 -  298.  181023 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119767 -               0745....BP HR..................................................... 119  68  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119768 -               0750....BP HR..................................................... 117  72  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119769 -               0755....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119770 -               0755... 20 17020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119771 -               0755... 80 96500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119772 -               0755... Naproxen (Aleve) 1 pill 250  64850 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119773 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119774 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119775 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119776 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119777 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119778 -         **    0930....pushups......       20  2300 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119779 -          * cr 1050....miles...........  15.0  26.00  230  296 minutes temp  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119780 -               1510....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119781 -               1515....BP HR..................................................... 105  71 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119782 -               1520....BP HR..................................................... 105  68  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119783 -               1630... 40 37740 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119784 -               1810............ 10 10880  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119785 -               1810............ 10 10470  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119786 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119787 -               1930... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119788 -               1940... 40 16960 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119789 -               2020... 1000  283000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119790 -               2150... 80 96580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119792 -  ..
119793 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119795 -  ..
119796 - ** Pushups - paused military pushups with feet elevated on chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119797 - again today on 181021.  Tried them yesterday on 181020, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119798 - HN5K, first time since 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119799 - during hike, but it returned after hike sitting in chair, so today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119800 - will skip military pushups again for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119802 -  ..
119803 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119805 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119806 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119807 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119808 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119809 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119811 -  ..
119812 - Blood pressure good and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119813 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119814 - and after hiking 11 miles yesterday. per above. ref SDS 0 HP9K  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119815 - heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119817 -  ..
119818 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119819 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119820 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119821 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119823 -  ..
119824 - Weight - 176 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119825 - eating more yesterday on 181022, per above. ref SDS 0 XYYQ  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119826 - hiking 15 miles, weight 171, lost 5 pounds. ref SDS 0 5U6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119828 -  ..
119829 - Pain medication - Naproxen 250 mg this morning to enable hiking 15+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119830 - miles by suppressing pain - worked well, did not feel pain in feet nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119831 - knees.  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119832 - for pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119833 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119834 - seem to wearing off.  Reduces risk of daily acetaminophen 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119835 - causing intoxication that lowers HDL for lab today.  Naproxex 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119836 - 250 mg seems smaller and so reduces risk getting stuck above LESV and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119837 - causing ulceration.  Seemed like Naproxen pill (NSAID which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119838 - with PRP line of care) got stuck on 180702, reported on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119839 - above. ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119840 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119841 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119842 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119843 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119844 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119845 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119846 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119847 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119848 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119849 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119851 -                                                    Pain Level   Day
119852 -         ..
119853 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119854 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119855 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119856 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119857 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119858 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119859 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119860 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119861 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119862 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119863 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119864 -        Electric shocks middle 3 toes right foot.....   0        005                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119865 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119866 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119867 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119868 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119869 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119870 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119871 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119873 -  ..
119874 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119875 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119876 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119877 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119878 - statins last night on 181022, per above. ref SDS 0 HP9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119880 -  ..
119881 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119882 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119884 -  ..
119885 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119886 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119888 -  ..
119889 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119890 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119891 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119893 -  ..
119894 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119895 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119896 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119897 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119899 -  ..
119900 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119901 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119902 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119904 -  ..
119905 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119906 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119908 -  ..
119909 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119910 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119911 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119912 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119913 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119915 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119916 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119917 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119918 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119919 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119920 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119921 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119922 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119923 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119924 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119925 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119926 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119927 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119928 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119929 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119930 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119931 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119932 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119934 -  ..
119935 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119936 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119937 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119939 -  ..
119940 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119941 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119943 -  ..
119944 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119945 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119947 -  ..
119948 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119949 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119950 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119951 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119952 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119954 -  ..
119955 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119956 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119957 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119958 - smartwool socks, and Ammonium Lactate 12% lotion applied 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119959 - No pain entire hike, possibly due to taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119961 -  ..
119962 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119963 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119964 - okay.  Time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119965 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119966 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119967 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119968 - Eastbound traffic flow.  Time mile 4.25 65 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119969 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119970 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119971 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119972 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119973 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119974 - strong - increased pace for .3 miles.  Going downhill normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119975 - Pine Hollow.  Turned corner onto Pine Hollow and increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119976 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119977 - Road about 1 mile.  Felt good, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119978 - Road and hiked another 4-mile loop.  After completing 2nd 4-mile loop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119979 - increased pace uphill on Ygnacio Valley Road to Cowell.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119980 - and hiked 1 mile back to Treat, turned corner and hiked home for 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119981 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119983 -  ..
119984 - Breakfast - cherios chia seeds milk with Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119985 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119986 - Dinner - peach half sandwich bologna cheese onion lettuce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119988 -  ..
119989 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119994 -         ..
119995 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119996 -  299.  181024 0700..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119997 -               0710....BP HR..................................................... 134  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119998 -               0715....BP HR..................................................... 133  72  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119999 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120000 -               0720... 20 17040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120001 -               0720... 80 96660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120002 -               0720... Naproxen (Aleve) 1 pill 250  65100 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120003 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120004 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120005 -               0720....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120006 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120007 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120008 -         **    0800....pushups......       20  2320 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120009 -          * cr 1030....miles...........  15.0  41.00  232  296 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120010 -               1440....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120011 -               1450....BP HR.....................................................  96  65 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120012 -               1455....BP HR..................................................... 101  70  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120013 -               1700... 40 37780 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120014 -             1 0000............ 10 10880  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120015 -             1 0000............ 10 10470  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120016 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120017 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120018 -               2000... 40 17000 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120019 -               2040... 1000  284000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120020 -               2200... 80 96740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120021 -               2220... Naproxen (Aleve) 1 pill 250  65350 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120023 -  ..
120024 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120026 -  ..
120027 - ** Pushups - paused military pushups with feet elevated on chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120028 - again today on 181021.  Tried them yesterday on 181020, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120029 - HN5K, first time since 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120030 - during hike, but it returned after hike sitting in chair, so today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120031 - will skip military pushups again for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120033 -  ..
120034 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120036 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120037 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120038 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120039 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120040 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120042 -  ..
120043 - Blood pressure poor and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120044 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120045 - and after hiking 15 miles yesterday. per above. ref SDS 0 5U6J  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120046 - heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120048 -  ..
120049 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120050 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120051 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120052 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120054 -  ..
120055 - Weight - 174 this morning after hiking 15 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120056 - eating less yesterday on 181023, per above. ref SDS 0 YRQS  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120057 - hiking 15 miles, weight 169, lost 5 pounds. ref SDS 0 OF5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120059 -  ..
120060 - Pain medication - Naproxen 250 mg this morning to enable hiking 15+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120061 - miles by suppressing pain - worked well, did not feel pain in feet nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120062 - knees.  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120063 - for pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120064 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120065 - seem to wearing off.  Reduces risk of daily acetaminophen 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120066 - causing intoxication that lowers HDL for lab today.  Naproxex 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120067 - 250 mg seems smaller and so reduces risk getting stuck above LESV and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120068 - causing ulceration.  Seemed like Naproxen pill (NSAID which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120069 - with PRP line of care) got stuck on 180702, reported on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120070 - above. ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120071 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120072 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120073 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120074 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120075 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120076 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120077 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120078 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120079 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120080 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120082 -                                                    Pain Level   Day
120083 -         ..
120084 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120085 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120086 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120087 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120088 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120089 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120090 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120091 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120092 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120093 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120094 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120095 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120096 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120097 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120098 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120099 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120100 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120101 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120102 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120104 -  ..
120105 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120106 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120107 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120108 - no evident peripheral neuropathy in right foot despite taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120109 - last night on 181023, per above. ref SDS 0 5U6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120111 -  ..
120112 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120113 - depleted, took naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120115 -  ..
120116 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120117 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120119 -  ..
120120 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120121 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120122 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120124 -  ..
120125 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120126 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120127 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120128 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120130 -  ..
120131 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120132 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120133 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120135 -  ..
120136 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120137 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120139 -  ..
120140 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120141 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120142 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120143 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120144 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120146 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120147 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120148 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120149 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120150 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120151 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120152 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120153 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120154 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120155 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120156 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120157 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120158 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120159 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120160 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120161 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120162 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120163 -        again today.................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120165 -  ..
120166 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120167 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120168 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120170 -  ..
120171 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120172 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120174 -  ..
120175 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120176 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120178 -  ..
120179 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120180 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120181 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120182 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120183 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120185 -  ..
120186 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120187 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120188 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120189 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120190 - pain entire hike, possibly due to taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120192 -  ..
120193 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120194 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120195 - okay.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120196 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120197 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120198 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120199 - Eastbound traffic flow.  Time mile 4.25 67 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120200 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120201 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120202 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120203 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120204 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120205 - strong - increased pace for .3 miles.  Going downhill normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120206 - Pine Hollow.  Turned corner onto Pine Hollow and increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120207 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120208 - Road about 1 mile.  Felt good, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120209 - Road and hiked another 4-mile loop.  After completing 2nd 4-mile loop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120210 - maintained pace uphill on Ygnacio Valley Road to Cowell.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120211 - and hiked 1 mile back to Treat, turned corner and hiked home for 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120212 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120214 -  ..
120215 - Breakfast - cherios chia seeds milk with Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120216 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120217 - Dinner - spaghetti asparagus avocado, hot dog cottage cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120218 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120220 -  ..
120221 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120225 -         ..
120226 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120227 -  300.  181025 0645..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120228 -               0845....BP HR..................................................... 135  72  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120229 -               0850....BP HR..................................................... 130  71  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120230 -               0855....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120231 -               0855... 20 17060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120232 -               0855... 80 96820 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120233 -               0720... Naproxen (Aleve) 1 pill 250  65600 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120234 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120235 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120236 -               0855....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120237 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120238 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120239 -         **    0800....pushups......       20  2340 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120240 -          * cr 1130....miles...........  16.0  57.00  244  872 minutes temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120241 -               1540....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120242 -               1550....BP HR.....................................................  98  71 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120243 -               1555....BP HR..................................................... 109  66 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120244 -               1610... 40 37820 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120245 -               1800............ 10 10890  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120246 -               1800............ 10 10480  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120247 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120248 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120249 -               2000... 40 17040 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120250 -               2040... 1000  285000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120251 -               2200... 80 96900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120253 -  ..
120254 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120256 -  ..
120257 - ** Pushups - paused military pushups with feet elevated on chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120258 - again today on 181021.  Tried them yesterday on 181020, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120259 - HN5K, first time since 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120260 - during hike, but it returned after hike sitting in chair, so today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120261 - will skip military pushups again for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120263 -  ..
120264 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120266 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120267 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120268 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120269 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120270 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120272 -  ..
120273 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120274 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120275 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120276 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120277 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120279 -  ..
120280 - Blood pressure poor and heart rate okay today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120281 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120282 - and after hiking 15 miles yesterday. per above. ref SDS 0 OF5N  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120283 - heart rate okay after hiking 16 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120285 -  ..
120286 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120287 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120288 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120289 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120291 -  ..
120292 - Weight - 176 this morning after hiking 15 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120293 - eating more yesterday on 181024, per above. ref SDS 0 YTTW  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120294 - hiking 16 miles, weight 169, lost 7 pounds. ref SDS 0 1E8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120296 -  ..
120297 - Pain medication - Naproxen 250 mg this morning to enable hiking 15+                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120298 - miles by suppressing pain - worked well, did not feel pain in feet nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120299 - knees.  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120300 - for pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120301 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120302 - seem to wearing off.  Reduces risk of daily acetaminophen 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120303 - causing intoxication that lowers HDL for lab today.  Naproxex 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120304 - 250 mg seems smaller and so reduces risk getting stuck above LESV and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120305 - causing ulceration.  Seemed like Naproxen pill (NSAID which conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120306 - with PRP line of care) got stuck on 180702, reported on 180703, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120307 - above. ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120308 - but this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120309 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120310 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120311 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120312 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120313 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120314 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120315 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120316 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120317 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120319 -                                                    Pain Level   Day
120320 -         ..
120321 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120322 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120323 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120324 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120325 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120326 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120327 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120328 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120329 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120330 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120331 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120332 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120333 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120334 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120335 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120336 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120337 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120338 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120339 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120341 -  ..
120342 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120343 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120344 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120345 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120346 - statins last night on 181024, per above. ref SDS 0 OF5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120348 -  ..
120349 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120350 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120352 -  ..
120353 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120354 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120356 -  ..
120357 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120358 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120359 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120361 -  ..
120362 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120363 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120364 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120365 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120367 -  ..
120368 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120369 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120370 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120372 -  ..
120373 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120374 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120376 -  ..
120377 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120378 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120379 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120380 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120381 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120383 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120384 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120385 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120386 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120387 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120388 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120389 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120390 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120391 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120392 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120393 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120394 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120395 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120396 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120397 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120398 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120399 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120400 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120401 -        again today.................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120403 -  ..
120404 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120405 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120406 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120408 -  ..
120409 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120410 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120412 -  ..
120413 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120414 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120416 -  ..
120417 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120418 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120419 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120420 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120421 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120423 -  ..
120424 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120425 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120426 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120427 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120428 - pain entire hike, possibly due to taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120430 -  ..
120431 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120432 - ref SDS 22 HG3F  Did not do extra 1 mile at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120433 - okay.  Time to 1.25 miles 18 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120434 - hiking concrete sidewalk.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120435 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120436 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120437 - Eastbound traffic flow.  Time mile 4.25 67 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120438 - Ygnacio Valley Road going West against no wind.  At mile 4.75 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120439 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120440 - Good pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120441 - ground.  Going down steep hill toward Rolling Woods Way normal pace,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120442 - today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120443 - strong - increased pace for .3 miles.  Going downhill normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120444 - Pine Hollow.  Turned corner onto Pine Hollow and increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120445 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120446 - Road about 1 mile.  Felt good, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120447 - Road and hiked another 4-mile loop.  Hiked extra mile today on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120448 - Hollow.  After completing 2nd 4-mile loop, maintained pace uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120449 - Ygnacio Valley Road to Cowell.  Turned right and hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120450 - Treat, turned corner and hiked home for 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120452 -  ..
120453 - Breakfast - cherios chia seeds milk with Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120454 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120455 - Dinner - spaghetti asparagus avocado onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120456 - cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120458 -  ..
120459 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120463 -         ..
120464 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120465 -  301.  181026 0745..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120466 -               0800....BP HR..................................................... 133  69  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120467 -               0805....BP HR..................................................... 129  67  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120468 -               0810....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120469 -               0810... 20 17080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120470 -               0810... 80 96980 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120471 -               0810... Naproxen (Aleve) 1 pill 250  65850 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120472 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120473 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120474 -               0810....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120475 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120476 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120477 -         **    0820....pushups......       20  2360 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120478 -          * cr 1130....miles...........  16.0  73.00  247 1119 minutes temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120479 -               1550....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120480 -               1610....BP HR..................................................... 104  66  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120481 -               1615....BP HR..................................................... 110  65  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120482 -               1640... 40 37860 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120483 -             1 0000............ 10 10900  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120484 -             1 0000............ 10 10490  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120485 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120486 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120487 -               1940... 40 17120 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120488 -               2050... 1000  286000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120489 -               2210... 80 97060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120491 -  ..
120492 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120494 -  ..
120495 - ** Pushups - paused military pushups with feet elevated on chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120496 - again today on 181021.  Tried them yesterday on 181020, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120497 - HN5K, first time since 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120498 - during hike, but it returned after hike sitting in chair, so today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120499 - will skip military pushups again for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120501 -  ..
120502 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120504 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120505 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120506 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120507 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120508 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120510 -  ..
120511 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120512 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120513 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120514 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120515 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120517 -  ..
120518 - Blood pressure okay and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120519 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120520 - and after hiking 16 miles yesterday. per above. ref SDS 0 1E8O  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120521 - heart rate okay after hiking 16 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120523 -  ..
120524 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120525 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120526 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120527 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120529 -  ..
120530 - Weight - 175 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120531 - eating less yesterday on 181025, per above. ref SDS 0 YVWX  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120532 - hiking 16 miles, weight 169, lost 6 pounds. ref SDS 0 346N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120534 -  ..
120535 - Pain medication - Naproxen 250 mg today hiking 15+ miles suppressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120536 - pain - so Naproxen will not increase LDL in lab, as occurred this past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120537 - Sunday on 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120538 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120539 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120540 - month or so, but benefits of PRP seem to wearing off.  Reduces risk of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120541 - daily acetaminophen 1000 mg causing intoxication that lowers HDL for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120542 - lab today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120543 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120544 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120545 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120546 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120547 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120548 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120549 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120550 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120551 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120552 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120553 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120554 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120555 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120557 -                                                    Pain Level   Day
120558 -         ..
120559 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120560 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120561 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120562 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120563 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120564 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120565 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120566 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120567 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120568 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120569 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120570 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120571 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120572 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120573 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120574 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120575 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120576 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120577 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120579 -  ..
120580 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120581 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120582 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120583 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120584 - night on 181025, per above. ref SDS 0 1E8O  Occurred on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120585 - Valley Road about mile 4.2 and lasted about .25 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120587 -  ..
120588 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120589 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120591 -  ..
120592 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120593 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120595 -  ..
120596 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120597 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120598 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120600 -  ..
120601 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120602 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120603 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120604 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120606 -  ..
120607 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120608 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120609 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120611 -  ..
120612 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120613 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120615 -  ..
120616 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120617 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120618 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120619 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120620 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120622 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120623 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120624 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120625 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120626 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120627 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120628 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120629 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120630 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120631 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120632 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120633 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120634 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120635 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120636 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120637 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120638 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120639 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120640 -        again today.................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120642 -  ..
120643 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120644 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120645 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120647 -  ..
120648 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120649 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120651 -  ..
120652 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120653 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120655 -  ..
120656 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120657 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120658 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120659 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120660 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120662 -  ..
120663 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120664 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120665 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120666 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120667 - pain entire hike, possibly due to taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120669 -  ..
120670 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120671 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120672 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120673 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120674 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120675 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120676 - traffic flow.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120677 - Valley Road going West against no wind.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120678 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120679 - going 1 mile uphill.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120680 - Going down steep hill toward Rolling Woods Way normal pace, today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120681 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120682 - increased pace for .3 miles.  Going downhill normal pace to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120683 - Hollow.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120684 - mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120685 - Road about 1 mile.  Felt good, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120686 - Road and hiked another 4-mile loop.  Hiked extra mile today on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120687 - Hollow.  After completing 2nd 4-mile loop, maintained pace uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120688 - Ygnacio Valley Road to Cowell.  Turned right and hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120689 - Treat, turned corner and hiked home for 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120691 -  ..
120692 - Breakfast - cheerios chia seeds milk with Naproxen 250 mg today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120693 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120694 - Dinner - half sandwich roast beef tomato cheese, avocado cottage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120695 - cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120697 -  ..
120698 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120702 -         ..
120703 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120704 -  302.  181027 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120705 -               0715....BP HR..................................................... 134  72  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120706 -               0720....BP HR..................................................... 127  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120707 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120708 -               0725... 20 17100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120709 -               0725... 80 97220 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120710 -               0725... Naproxen (Aleve) 1 pill 250  66100 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120711 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120712 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120713 -               0725....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120714 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120715 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120716 -         **    0730....pushups......       20  2380 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120717 -          * cr 0755....miles...........  15.0  88.00  236 1350 minutes temp  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120718 -               1205....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120719 -               1245....BP HR..................................................... 115  69  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120720 -               1250....BP HR..................................................... 113  64  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120721 -               1640... 40 37900 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120722 -               1830............ 10 10910  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120723 -               1830............ 10 10500  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120724 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120725 -               1910... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120726 -               1940... 40 17160 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120727 -               2050... 1000  287000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120728 -               2210... 80 97300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120730 -  ..
120731 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120733 -  ..
120734 - ** Pushups - paused military pushups with feet elevated on chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120735 - again today on 181021.  Tried them yesterday on 181020, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120736 - HN5K, first time since 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120737 - during hike, but it returned after hike sitting in chair, so today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120738 - will skip military pushups again for awhile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120740 -  ..
120741 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120743 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120744 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120745 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120746 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120747 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120749 -  ..
120750 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120751 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120752 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120753 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120754 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120756 -  ..
120757 - Blood pressure okay and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120758 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120759 - last night, and after hiking 16 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120760 - ref SDS 0 346N  BP and heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120762 -  ..
120763 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120764 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120765 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120766 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120768 -  ..
120769 - Weight - 174 this morning after hiking 16 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120770 - eating less yesterday on 181026, per above. ref SDS 0 YYRU  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120771 - hiking 15 miles, weight 169, lost 5 pounds. ref SDS 0 3I6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120773 -  ..
120774 - Pain medication - Naproxen 250 mg today hiking 15+ miles suppressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120775 - pain - so Naproxen will not increase LDL in lab, as occurred this past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120776 - Sunday on 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120777 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120778 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120779 - month or so, but benefits of PRP seem to wearing off.  Reduces risk of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120780 - daily acetaminophen 1000 mg causing intoxication that lowers HDL for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120781 - lab today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120782 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120783 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120784 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120785 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120786 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120787 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120788 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120789 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120790 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120791 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120792 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120793 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120794 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120796 -                                                    Pain Level   Day
120797 -         ..
120798 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120799 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120800 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120801 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120802 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120803 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120804 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120805 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120806 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120807 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120808 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120809 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120810 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120811 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120812 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120813 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120814 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120815 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120816 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120818 -  ..
120819 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120820 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120821 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120822 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120823 - statins last night on 181026, per above. ref SDS 0 346N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120825 -  ..
120826 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120827 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120829 -  ..
120830 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120831 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120833 -  ..
120834 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120835 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120836 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120838 -  ..
120839 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120840 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120841 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120842 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120844 -  ..
120845 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120846 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120847 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120849 -  ..
120850 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120851 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120853 -  ..
120854 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120855 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120856 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120857 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120858 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120860 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120861 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120862 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120863 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120864 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120865 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120866 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120867 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120868 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120869 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120870 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120871 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120872 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120873 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120874 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120875 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120876 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120877 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120878 -        again today.................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120880 -  ..
120881 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120882 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120883 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120885 -  ..
120886 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120887 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120889 -  ..
120890 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120891 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120893 -  ..
120894 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120895 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120896 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120897 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120898 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120900 -  ..
120901 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120902 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120903 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120904 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120905 - pain entire hike, possibly due to taking Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120907 -  ..
120908 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120909 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120910 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120911 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120912 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120913 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120914 - traffic flow.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120915 - Valley Road going West against no wind.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120916 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120917 - going 1 mile uphill.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120918 - Going down steep hill toward Rolling Woods Way normal pace, today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120919 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120920 - increased pace for .3 miles.  Going downhill normal pace to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120921 - Hollow.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120922 - mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120923 - Road about 1 mile.  Felt good, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120924 - Road and hiked another 4-mile loop.  Hiked extra mile today on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120925 - Hollow.  After completing 2nd 4-mile loop, maintained pace uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120926 - Ygnacio Valley Road to Cowell.  Turned right and hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120927 - Treat, turned corner and hiked home for 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120929 -  ..
120930 - Planned to do another lap of 11 or possibly 15 miles, making total of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120931 - 26 or 30 miles for the day.  This might move HDL 70+, based on doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120932 - 2-a-day hikes of 4+ hours.  Previously HDL 70+ was reached doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120933 - 2-a-day hikes of 3+ hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120935 -  ..
120936 - Breakfast - cheerios chia seeds milk with Naproxen 250 mg today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120937 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120938 - Dinner - lettuce cucumber onion avocado tomato diced ham mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120939 - eggs bacon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120941 -  ..
120942 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120946 -         ..
120947 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120948 -  303.  181028 0715..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120949 -               0725....BP HR..................................................... 135  71  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120950 -               0730....BP HR..................................................... 130  68  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120951 -               0735....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120952 -               0735... 20 17120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120953 -               0735... 80 97380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120954 -               0000... Naproxen (Aleve) 1 pill 250  66100 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120955 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120956 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120957 -               0735....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120958 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120959 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120960 -         **    0740....pushups......       20  2400 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120961 -          * cr 0750....miles...........  20.0 108.00  307 1657 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120962 -               1320....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120963 -               1330....BP HR..................................................... 123  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120964 -               1335....BP HR..................................................... 106  75  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120965 -               1700... 40 37940 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120966 -           *!* 1830............ 10 10920  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120967 -               1830............ 10 10510  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120968 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120969 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120970 -               1940... 40 17200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120971 -               2050... 1000  288000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120972 -               2210... 80 97460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120974 -  ..
120975 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120977 -  ..
120978 - ** Pushups - resumed military pushups with feet elevated on chair,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120979 - after pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120980 - first time since 181007, per above. ref SDS 0 VW5N  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120981 - yesterday, so tried again today on 181028.  No neck pain during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120982 - today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120984 - *!* Took statins out of sequence, so will have in system night before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120985 - getting blood draw to evaluate HDL in lab tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120987 -  ..
120988 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120990 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120991 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120992 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120993 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120994 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120996 -  ..
120997 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120998 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120999 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121000 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121001 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121003 -  ..
121004 - Blood pressure poor and heart rate good today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121005 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121006 - and after hiking 15 miles yesterday. per above. ref SDS 0 3I6N  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121007 - heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121009 -  ..
121010 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121011 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121012 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121013 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121015 -  ..
121016 - Weight - 177 this morning after hiking 20 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121017 - eating more yesterday on 181028, per above. ref SDS 0 PQVW  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121018 - hiking 15 miles, weight 169, lost 6 pounds. ref SDS 0 6N5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121020 -  ..
121021 - Pain medication - pause Naproxen 250 mg today hiking 15+ miles without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121022 - suppressing pain - so Naproxen will not increase LDL in lab, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121023 - occurred this past Sunday on 181021 1541. ref SDS B2 KU6L  PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121024 - treatment on 180824 1515, ref SDS A8 0001, reduced need for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121025 - medication.  NSAID's like naproxen and ibuprofen suppress performance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121026 - of PRP injections for a month or so, but benefits of PRP seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121027 - wearing off.  Reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121028 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121029 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121030 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121031 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121032 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121033 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121034 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121035 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121036 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121037 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121038 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121039 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121040 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121041 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121042 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121044 -                                                    Pain Level   Day
121045 -         ..
121046 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121047 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121048 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121049 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121050 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121051 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121052 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121053 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121054 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121055 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121056 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121057 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121058 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121059 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121060 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121061 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121062 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121063 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121064 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121066 -  ..
121067 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121068 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121069 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121070 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121071 - last night on 181027, per above. ref SDS 0 3I6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121073 -  ..
121074 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121075 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121077 -  ..
121078 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121079 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121081 -  ..
121082 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121083 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121084 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121086 -  ..
121087 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121088 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121089 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121090 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121092 -  ..
121093 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121094 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121095 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121097 -  ..
121098 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121099 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121101 -  ..
121102 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121103 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121104 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121105 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121106 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121108 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121109 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121110 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121111 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121112 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121113 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121114 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121115 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121116 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121117 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121118 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121119 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121120 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121121 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121122 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121123 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121124 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121125 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121126 -        again today.................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121128 -  ..
121129 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121130 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121131 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121133 -  ..
121134 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121135 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121137 -  ..
121138 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121139 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121141 -  ..
121142 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121143 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121144 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121145 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121146 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121148 -  ..
121149 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121150 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121151 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121152 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121153 - pain entire hike until after 3rd 4-mile loop, despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121154 - Naproxen today, per above. ref SDS 0 PRUR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121156 -  ..
121157 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121158 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121159 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121160 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121161 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121162 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121163 - traffic flow.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121164 - Valley Road going West against no wind.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121165 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121166 - going 1 mile uphill.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121167 - Going down steep hill toward Rolling Woods Way normal pace, today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121168 - Turned onto Rolling Woods Way.  Going up steep hill felt strong -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121169 - increased pace for .3 miles.  Going downhill normal pace to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121170 - Hollow.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121171 - mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121172 - Road about 1 mile.  Felt good, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121173 - Road and hiked another 4-mile loop.  Then hiked 3rd 4-mile loop - felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121174 - better than expected.  Did the 3rd loop fast again, despite having no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121175 - Naproxen.  After completing 3rd 4-mile loop, maintained pace uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121176 - Ygnacio Valley Road to Cowell.  Both feet hurt on sides, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121177 - right onto Cowell and hiked 1 mile back to Treat, turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121178 - hiked home for 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121180 -  ..
121181 - Breakfast - cheerios chia seeds milk with Naproxen 250 mg today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121182 - Lunch - small hamburger few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121183 - Dinner - lettuce cucumber onion avocado tomato diced ham mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121185 -  ..
121186 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121190 -         ..
121191 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121192 -  304.  181029 0635..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121193 -               0700....BP HR..................................................... 142  68  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121194 -               0705....BP HR..................................................... 137  67  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121195 -               0710....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121196 -               0710... 20 17120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121197 -               0710... 80 97380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121198 -               0000... Naproxen (Aleve) 1 pill 250  66100 - enable h77e 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121199 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121200 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121201 -               0710....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121202 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121203 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121204 -         **    0720....pushups......       20  2420 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121205 -          * cr 0745....miles...........  22.0  22.00  338  338 minutes temp  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121206 -               1405....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121207 -               1410....BP HR..................................................... 125  72  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121208 -               1415....BP HR..................................................... 114  76  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121209 -               1720... 40 37940 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121210 -             1 0000............ 10 10920  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121211 -             1 0000............ 10 10510  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121212 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121213 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121214 -               1910... 40 17200 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121215 -               1940... 1000  288000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121216 -               2020... 80 97460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121218 -  ..
121219 - Lab today, at Quest reported HDL 69, after hiking 42 miles past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121220 - days, reported in another record on 181029 1438. ref SDS B4 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121222 -  ..
121223 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121225 -  ..
121226 - Today on 181029, 1st time hiking 4 loops in a row Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121227 - 4-mile loop, as part of daily hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121229 -  ..
121230 - ** Pushups - yesterday on 181028, resumed military pushups with feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121231 - elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121232 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121233 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121234 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121236 -  ..
121237 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121239 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121240 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121241 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121242 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121243 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121245 -  ..
121246 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121247 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121248 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121249 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121250 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121252 -  ..
121253 - Blood pressure very poor and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121254 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121255 - last night, and after hiking 20 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121256 - ref SDS 0 6N5G  BP and heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121258 -  ..
121259 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121260 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121261 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121262 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121264 -  ..
121265 - Weight - 177 this morning after hiking 20 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121266 - eating more yesterday on 181028, per above. ref SDS 0 E55K  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121267 - hiking 22 miles, weight 170, lost 7 pounds. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121269 -  ..
121270 - Pain medication - pause Naproxen 250 mg today hiking 22 miles without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121271 - medication suppressing pain - so Naproxen will not increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121272 - lab, as occurred this past Sunday on 181021 1541. ref SDS B2 KU6L  PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121273 - treatment on 180824 1515, ref SDS A8 0001, reduced need for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121274 - medication.  NSAID's like naproxen and ibuprofen suppress performance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121275 - of PRP injections for a month or so, but benefits of PRP seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121276 - wearing off.  Reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121277 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121278 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121279 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121280 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121281 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121282 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121283 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121284 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121285 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121286 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121287 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121288 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121289 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121290 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121291 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121293 -                                                    Pain Level   Day
121294 -         ..
121295 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121296 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121297 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121298 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121299 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121300 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121301 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121302 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121303 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121304 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121305 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121306 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121307 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121308 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121309 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121310 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121311 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121312 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121313 -        Peripheral neruopathy right foot.............   0          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121315 -  ..
121316 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121317 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121318 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121319 - evident peripheral neuropathy in right foot after taking statins last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121320 - night on 181028, per above. ref SDS 0 6N5G  Lasted only about .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121321 - miles and very mild.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121323 -  ..
121324 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121325 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121327 -  ..
121328 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121329 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121331 -  ..
121332 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121333 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121334 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121336 -  ..
121337 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121338 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121339 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121340 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121342 -  ..
121343 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121344 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121345 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121347 -  ..
121348 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121349 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121351 -  ..
121352 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121353 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121354 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121355 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121356 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121358 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121359 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121360 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121361 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121362 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121363 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121364 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121365 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121366 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121367 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121368 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121369 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121370 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121371 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121372 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121373 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121374 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121375 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121376 -        again today.................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121378 -  ..
121379 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121380 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121381 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121383 -  ..
121384 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121385 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121387 -  ..
121388 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121389 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121391 -  ..
121392 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121393 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121394 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121395 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121396 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121398 -  ..
121399 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121400 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121401 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121402 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121403 - pain entire hike until after 3rd 4-mile loop, despite not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121404 - Naproxen today, per above. ref SDS 0 PRUR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121406 -  ..
121407 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121408 - ref SDS 22 HG3F  Did extra 1 mile at the end.  Starting energy okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121409 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121410 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121411 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121412 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121413 - traffic flow.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121414 - Valley Road going West against no wind.  At mile 4.75 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121415 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121416 - going 1 mile uphill breathing through nose entire way up.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121417 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121418 - Woods Way normal pace, today.  Turned onto Rolling Woods Way.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121419 - up steep hill felt strong - increased pace for .3 miles and breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121420 - through nose entire way.  Going downhill normal pace to Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121421 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121422 - to Ygnacio Valley Road.  Hiked West back to Crystal Ranch Road about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121423 - mile.  Felt good, so turned corner onto Crystal Ranch Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121424 - another 4-mile loop.  Then hiked 3rd 4-mile loop; and, finally hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121425 - 4th 4-mile loop = - felt better than expected.  Did the 4th loop fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121426 - again, despite having no Naproxen.  Kathy met me at Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121427 - Road and Crystal Ranch Road, and drove us home - for 22 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121428 - today.  Best hike ever other than Half Dome on 180912, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121429 - ref SDS 0 V75L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121431 -  ..
121432 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121433 - Lunch - half sandwich roast beef tomato cheese, after blood draw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121434 - Dinner - salmon squash mashed potatoes biscut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121436 -  ..
121437 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121441 -         ..
121442 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121443 -  305.  181030 0219..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121444 -               0430....BP HR..................................................... 166  78  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121445 -               0435....BP HR..................................................... 154  79  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121446 -               0440....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121447 -               0000... 20 17120 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121448 -               0000... 80 97450 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121449 -               0000... Naproxen (Aleve) 1 pill 250  66100 - enable h77e 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121450 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121451 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121452 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121453 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121454 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121455 -         **    0720....pushups......       20  2440 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121456 -               1810... 40 37980 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121457 -               1930............ 10 10930  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121458 -               1930............ 10 10520  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121459 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121460 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121461 -               2040... 40 17240 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121462 -               2120... 1000  289000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121463 -               2220... 80 97540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121465 -  ..
121466 - Lab today, at Quest reported HDL 69, after hiking 42 miles past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121467 - days, reported in another record on 181029 1438. ref SDS B4 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121469 -  ..
121470 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121471 - On 181029, 1st time hiking 4 loops in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121472 - loop, as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121474 -  ..
121475 - ** Pushups - yesterday on 181028, resumed military pushups with feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121476 - elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121477 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121478 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121479 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121481 -  ..
121482 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121484 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121485 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121486 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121487 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121488 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121490 -  ..
121491 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121492 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121493 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121494 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121495 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121497 -  ..
121498 - Blood pressure very poor and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121499 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121500 - last night, and after hiking 20 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121501 - ref SDS 0 6N5G  BP and heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121503 -  ..
121504 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121505 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121506 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121507 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121509 -  ..
121510 - Weight - 177 this morning after hiking 20 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121511 - eating more yesterday on 181028, per above. ref SDS 0 E55K  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121512 - hiking 22 miles, weight 170, lost 7 pounds. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121514 -  ..
121515 - Hiking - none, EGD dilation in Sacramento                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121517 -  ..
121518 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121519 - Lunch - half hamburger donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121520 - Dinner - spaghetti asparagus avocado lettuce onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121522 -  ..
121523 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121527 -         ..
121528 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121529 -  306.  181031 0300..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121530 -               0310....BP HR..................................................... 129  65  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121531 -               0315....BP HR..................................................... 124  67  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121532 -               0320....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121533 -               0320... 20 17140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121534 -               0320... 80 97620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121535 -               0000... Naproxen (Aleve) 1 pill 250  66100 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121536 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121537 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121538 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121539 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121540 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121541 -         **    0720....pushups......       20  2440 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121542 -               1810... 40 38020 Pantoprazole Rx 25009443 replace Omeprazole Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121543 -             1 0000............ 10 10930  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121544 -             1 0000............ 10 10520  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121545 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121546 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121547 -               2010... 40 17280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121548 -               2040... 1000  290000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121549 -               2130... 80 97700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121551 -  ..
121552 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121553 - On 181029, 1st time hiking 4 loops in a row Crystal Ranch Road 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121554 - loop, as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121556 -  ..
121557 - ** Pushups - on 181028, resumed military pushups with feet elevated on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121558 - chair, after pausing again on 181021.  Tried them on 181020,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121559 - ref SDS 0 HN5K, first time since 181007, per above. ref SDS 0 VW5N  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121560 - neck pain yesterday, so tried again today on 181028.  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121561 - during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121563 -  ..
121564 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121566 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121567 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121568 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121569 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121570 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121572 -  ..
121573 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121574 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121575 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121576 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121577 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121579 -  ..
121580 - Blood pressure good and heart rate poor today, after taking calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121581 - carbonate (Tums) and taking Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121582 - and after hiking 0 miles yesterday. per above. ref SDS 0 X26H  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121583 - heart rate okay after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121585 -  ..
121586 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121587 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121588 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121589 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121591 -  ..
121592 - Weight - 177 this morning after hiking 0 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121593 - eating more yesterday on 181028, per above. ref SDS 0 PYRX  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121594 - hiking 22 miles, weight 170, lost 7 pounds. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121596 -  ..
121597 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121598 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121599 - Dinner - lettuce onion tomato diced ham cucmumber avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121601 -  ..
121602 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121606 -         ..
121607 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121608 -  307.  181101 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121609 -               0900....BP HR..................................................... 150  71  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121610 -               0905....BP HR..................................................... 146  70  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121611 -               0910....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121612 -               0910... 20 17140 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121613 -               0910... 80 97620 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121614 -               0910... Naproxen (Aleve) 1 pill 250  66350 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121615 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121616 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121617 -               0910....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121618 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121619 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121620 -         **    1000....pushups......       60  2500 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121621 -          * cr 1130....miles...........  11.0  33.00  169  507 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121622 -               1445....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121623 -               1450....BP HR..................................................... 108  70 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121624 -               1455....BP HR..................................................... 110  67  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121625 -               1710... 40 38020 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121626 -               1820............ 10 10930  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121627 -               1820............ 10 10520  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121628 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121629 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121630 -               0000... 40 17280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121631 -               2040... 1500  290500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121632 -               2130... 80 97700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121634 -  ..
121635 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121636 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121637 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121639 -  ..
121640 - ** Pushups - on 181028, resumed military pushups with feet elevated on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121641 - chair, after pausing again on 181021.  Tried them on 181020,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121642 - ref SDS 0 HN5K, first time since 181007, per above. ref SDS 0 VW5N  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121643 - neck pain yesterday, so tried again today on 181028.  No neck pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121644 - during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121646 -  ..
121647 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121649 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121650 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121651 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121652 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121653 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121655 -  ..
121656 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121657 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121658 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121659 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121660 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121662 -  ..
121663 - Blood pressure poor and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121664 - calcium carbonate (Tums) and taking Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121665 - last night, and after hiking 0 miles yesterday. per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121666 - PWWX  BP and heart rate okay after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121668 -  ..
121669 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121670 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121671 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121672 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121674 -  ..
121675 - Weight - 176 this morning after hiking 0 miles yesterday; conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121676 - with eating more yesterday on 181031, per above. ref SDS 0 QPQR  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121677 - hiking 11 miles, weight 172, lost 4 pounds. ref SDS 0 PXUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121679 -  ..
121680 - Pain medication - Naproxen 250 mg today hiking 11 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121681 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121682 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121683 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121684 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121685 - injections for a month or so, but benefits of PRP seem to wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121686 - Reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121687 - lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121688 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121689 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121690 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121691 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121692 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121693 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121694 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121695 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121696 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121697 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121698 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121699 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121700 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121702 -                                                    Pain Level   Day
121703 -         ..
121704 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121705 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121706 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121707 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121708 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121709 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121710 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121711 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121712 -        Tailor's Bunion left foot....................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121713 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121714 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121715 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121716 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121717 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121718 -        Callus big toe left foot.....................   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121719 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121720 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121721 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121722 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121724 -  ..
121725 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121726 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121727 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121728 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121729 - statins last night on 181031, per above. ref SDS 0 PWWX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121731 -  ..
121732 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121733 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121735 -  ..
121736 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121737 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121739 -  ..
121740 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121741 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121742 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121744 -  ..
121745 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121746 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121747 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121748 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121750 -  ..
121751 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121752 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121753 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121755 -  ..
121756 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121757 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121759 -  ..
121760 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121761 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121762 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121763 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121764 - 1230. ref SDS 91 268M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121766 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121767 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121768 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121769 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121770 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121771 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121772 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121773 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121774 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121775 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121776 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121777 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121778 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121779 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121780 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121781 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121782 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121783 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121784 -        again today.................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121786 -  ..
121787 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121788 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121789 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121791 -  ..
121792 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121793 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121795 -  ..
121796 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121797 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121799 -  ..
121800 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121801 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121802 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121803 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121804 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121806 -  ..
121807 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121808 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121809 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121810 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121811 - level 2 after 9 miles, so did not do 2nd 4-mile loop, despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121812 - Naproxen today, per above. ref SDS 0 PXUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121814 -  ..
121815 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121816 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121817 - energy okay.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121818 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121819 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121820 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121821 - against Eastbound traffic flow.  Time mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121822 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121823 - 4.75 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121824 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121825 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121826 - normal pace, today.  Turned onto Rolling Woods Way.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121827 - hill felt strong - increased pace for .3 miles.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121828 - pace to Pine Hollow.  Turned corner onto Pine Hollow and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121829 - pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121830 - Crystal Ranch Road about 1 mile.  Pain level 2 left foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121831 - Bunion and callus big toe, so continued up hill to Cowell.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121832 - corner and hiked 1 mile to Treat, then home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121834 -  ..
121835 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121836 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121837 - Dinner - lettuce onion tomato diced ham cucmumber avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121839 -  ..
121840 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121844 -         ..
121845 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121846 -  308.  181102 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121847 -               0930....BP HR..................................................... 142  78  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121848 -               0935....BP HR..................................................... 132  70  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121849 -               0940....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121850 -               0940... 20 17160 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121851 -               0940... 80 97780 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121852 -               0940... Naproxen (Aleve) 1 pill 250  66600 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121853 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121854 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121855 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121856 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121857 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121858 -         **    1030....pushups......       40  2540 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121859 -          * cr 1045....miles...........  15.0  48.00  233  740 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121860 -               1500....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121861 -               1505....BP HR.....................................................  93  62 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121862 -               1510....BP HR.....................................................  90  58 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121863 -               1600... 40 38060 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121864 -             1 0000............ 10 10930  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121865 -             1 0000............ 10 10520  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121866 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121867 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121868 -               0000... 40 17280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121869 -               0000... 1000  290500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121870 -               2130... 80 97860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121872 -  ..
121873 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121874 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121875 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121877 -  ..
121878 - ** Pushups - today on 181102, felt slight pain in back after 1st set                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121879 - 20 pushups, so paused again after previously on 181028, resumed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121880 - military pushups with feet elevated on chair, after pausing again on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121881 - 181021.  Tried them on 181020, ref SDS 0 HN5K, first time since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121882 - 181007, per above. ref SDS 0 VW5N  No neck pain yesterday, so tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121883 - again today on 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121885 -  ..
121886 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121888 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121889 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121890 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121891 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121892 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121894 -  ..
121895 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121896 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121897 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121898 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121899 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121901 -  ..
121902 - Blood pressure still poor and heart rate very good today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121903 - 1500 mg calcium carbonate (Tums) and did not take Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121904 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121905 - yesterday. per above. ref SDS 0 PXUW  BP and heart rate good after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121906 - hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121908 -  ..
121909 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121910 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121911 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121912 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121914 -  ..
121915 - Weight - 176 this morning after hiking 11 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121916 - eating less yesterday on 181101, per above. ref SDS 0 QPXW  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121917 - hiking 15 miles, weight 169, lost 7 pounds. ref SDS 0 GM6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121919 -  ..
121920 - Pain medication - Naproxen 250 mg today hiking 15 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121921 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121922 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121923 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121924 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121925 - injections for a month or so, but benefits of PRP seem to wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121926 - Reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121927 - lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121928 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121929 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121930 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121931 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121932 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121933 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121934 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121935 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121936 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121937 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121938 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121939 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121940 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121942 -                                                    Pain Level   Day
121943 -         ..
121944 -        Shoulder blade below neck right side.........   1        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121945 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121946 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121947 -        Knee left...no glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121948 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121949 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121950 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121951 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121952 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121953 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121954 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121955 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121956 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121957 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121958 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121959 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121960 -        Blister below big toe left foot..............   4          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121961 -        Blister below big toe right foot.............   4          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121962 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121963 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121965 -  ..
121966 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121967 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121968 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121969 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121970 - last night on 181101, per above. ref SDS 0 PXUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121972 -  ..
121973 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121974 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121976 -  ..
121977 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121978 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121980 -  ..
121981 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121982 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121983 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121985 -  ..
121986 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121987 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121988 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121989 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121991 -  ..
121992 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121993 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121994 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121996 -  ..
121997 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121998 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122000 -  ..
122001 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122002 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122003 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122004 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122005 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122007 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122008 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122009 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122010 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122011 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122012 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122013 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122014 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122015 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122016 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122017 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122018 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122019 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122020 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122021 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122022 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122023 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122024 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122025 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122026 -        again today.................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122028 -  ..
122029 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122030 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122031 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122032 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122033 - skin. ref SDS 0 QRWV  However, duirng hike felt blisters on both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122034 - below big toes, when sprinting about 40 yards uphill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122035 - Road to make street light across Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122037 -  ..
122038 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122039 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122041 -  ..
122042 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122043 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122045 -  ..
122046 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122047 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122048 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122049 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122050 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122052 -  ..
122053 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122054 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122055 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122056 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122057 - level 2 after 9 miles, so did not do 2nd 4-mile loop, despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122058 - Naproxen today, per above. ref SDS 0 PXUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122060 -  ..
122061 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122062 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122063 - energy good.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122064 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122065 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122066 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122067 - against Eastbound traffic flow.  Time mile 4.25 65 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122068 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122069 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122070 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122071 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122072 - normal pace, today.  Turned onto Rolling Woods Way.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122073 - hill felt strong - increased pace for .3 miles.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122074 - pace to Pine Hollow.  Turned corner onto Pine Hollow and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122075 - pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122076 - Crystal Ranch Road about 1 mile.  Felt okay, so turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122077 - Crystal Ranch Road and hiked another 4-mile loop.  After completing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122078 - 2nd loop, pain level 1 left foot Tailor's Bunion and callus big toe,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122079 - so continued uphill to Cowell.  Traffic for Cowell left turn was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122080 - ending, so sprinted about 40 yards to cross Cowell, before left turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122081 - signal turned green for traffic on Ygnacio Valley Road turning onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122082 - Cowell.  Sprint caused blisters below big toes both feet.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122083 - corner and hiked 1 mile to Treat, then home for 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122085 -  ..
122086 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122087 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122088 - Dinner - lettuce onion tomato diced ham brocolli cucmumber avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122089 - mushrooms, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122091 -  ..
122092 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122096 -         ..
122097 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122098 -  309.  181103 0640..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122099 -               0655....BP HR..................................................... 134  75  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122100 -               0700....BP HR..................................................... 133  71  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122101 -               0710....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122102 -               0710... 20 17180 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122103 -               0710... 80 97940 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122104 -               0710... Naproxen (Aleve) 1 pill 250  66850 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122105 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122106 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122107 -               0710....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122108 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122109 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122110 -         **    0730....pushups......       40  2580 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122111 -          * cr 0925....miles...........  21.0  69.00  327 1067 minutes temp  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122112 -               1530....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122113 -               1540....BP HR..................................................... 108  68 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122114 -               545....BP HR..................................................... 111  72 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122115 -               1630... 40 38100 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122116 -               1830............ 10 10940  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122117 -               1830............ 10 10530  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122118 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122119 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122120 -               0000... 40 17280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122121 -               0000... 1000  290500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122122 -               2130... 80 98020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122124 -  ..
122125 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122126 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122127 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122129 -  ..
122130 - ** Pushups - on 181102, felt slight pain in back after 1st set 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122131 - pushups, so paused again after previously resuming on 181028, doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122132 - military pushups with feet elevated on chair, after pausing again on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122133 - 181021.  Tried them on 181020, ref SDS 0 HN5K, first time since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122134 - 181007, per above. ref SDS 0 VW5N  No neck pain yesterday, so tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122135 - again today on 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122137 -  ..
122138 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122140 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122141 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122142 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122143 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122144 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122146 -  ..
122147 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122148 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122149 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122150 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122151 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122153 -  ..
122154 - Blood pressure much better still poor and heart rate very good today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122155 - after not taking 1000 mg calcium carbonate (Tums) and did not take 40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122156 - units Mylanta gastrointestinal drugs last night, and after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122157 - miles yesterday. per above. ref SDS 0 GM6K  BP and heart rate good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122158 - after hiking 21 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122160 -  ..
122161 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122162 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122163 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122164 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122166 -  ..
122167 - Weight - 175 this morning after hiking 15 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122168 - eating less yesterday on 181102, per above. ref SDS 0 QSRT  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122169 - hiking 21 miles, weight 168, lost 8 pounds. ref SDS 0 Q57L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122171 -  ..
122172 - Pain medication - Naproxen 250 mg today hiking __ miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122173 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122174 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122175 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122176 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122177 - injections for a month or so, but benefits of PRP seem to wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122178 - Reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122179 - lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122180 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122181 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122182 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122183 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122184 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122185 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122186 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122187 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122188 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122189 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122190 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122191 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122192 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122194 -                                                    Pain Level   Day
122195 -         ..
122196 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122197 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122198 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122199 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122200 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122201 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122202 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122203 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122204 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122205 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122206 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122207 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122208 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122209 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122210 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122211 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122212 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122213 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122214 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122215 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122217 -  ..
122218 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122219 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122220 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122221 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122222 - statins last night on 181102, per above. ref SDS 0 GM6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122224 -  ..
122225 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122226 - depleted, so took Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122228 -  ..
122229 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122230 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122232 -  ..
122233 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122234 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122235 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122237 -  ..
122238 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122239 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122240 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122241 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122243 -  ..
122244 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122245 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122246 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122248 -  ..
122249 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122250 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122252 -  ..
122253 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122254 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122255 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122256 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122257 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122259 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122260 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122261 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122262 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122263 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122264 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122265 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122266 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122267 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122268 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122269 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122270 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122271 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122272 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122273 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122274 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122275 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122276 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122277 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122278 -        again today.................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122280 -  ..
122281 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122282 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122283 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122284 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122285 - skin. ref SDS 0 QRWV  However, duirng hike felt blisters on both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122286 - below big toes, when sprinting about 40 yards uphill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122287 - Road to make street light across Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122289 -  ..
122290 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122291 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122293 -  ..
122294 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122295 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122297 -  ..
122298 - Hip left, pain level 0 entire hike - hiked over hill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122299 - Road and turnned right onto Oak Grove, and hiked on concrete sidewalk,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122300 - rather than slopped asphalt shoulder.  No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122301 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122302 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122304 -  ..
122305 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122306 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122307 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122308 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122309 - level 2 after 9 miles, so did not do 2nd 4-mile loop, despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122310 - Naproxen today, per above. ref SDS 0 PXUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122312 -  ..
122313 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122314 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122315 - energy good.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122316 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122317 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122318 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122319 - against Eastbound traffic flow.  Time mile 4.25 65 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122320 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122321 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122322 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122323 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122324 - normal pace, today.  Turned onto Rolling Woods Way.  Going up steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122325 - hill felt strong - increased pace for .3 miles.  Going downhill normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122326 - pace, today.  Turned onto Rolling Woods Way.  Going up steep hill felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122327 - strong - increased pace for .3 miles.  Going downhill normal pace to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122328 - Pine Hollow.  Before reaching Pine Hollow encountered 2 women, seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122329 - in their 50s.  They were cutting back bushes on a street corner, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122330 - doing other landscape maintenance.  One of the women said she sees me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122331 - often hiking on Ygnacio Valley Road and waves.  Said it is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122332 - to really see anyone driving by in vehicles, because traffic is going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122333 - fast.  Commended the women doing what seemed like volunteer community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122334 - service.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122335 - mile back to Ygnacio Valley Road.  Along Pine Hollow there was a young                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122336 - woman pushing a baby carriage.  She asked if I was training for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122337 - anything?  Explained earlier in July and August trained to hike Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122338 - Dome, and did this on 180912.  She seemed familiar with challenges                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122339 - hiking Half Dome and offered congratulations.  Hiked West back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122340 - Crystal Ranch Road about 1 mile.  Felt okay, so turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122341 - Crystal Ranch Road and hiked another 4-mile loop.  After completing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122342 - 2nd loop, felt okay again, so hiked 3rd 4-mile loop.  Going up Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122343 - Ranch Road a woman driving up the road in a red SUV slowed to my pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122344 - and talked for several minutes.  She asked if I was hiking to lose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122345 - weight, and how many miles in the hike?  Explained weight loss is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122346 - objective.  Hikes vary fromn 11 to 20+ miles per day.  Today the goal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122347 - is about 22 miles.  She commented on seeing my hike at very disparate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122348 - locations in Concord, Clayton, Walnut Creek all along the 22 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122349 - She asked about other goals?  Explained major goal is raising HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122350 - cholesterol.  She was familir with LDL cholesterol, but not HDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122351 - Explained HDL 60+ can regress atherosclostertic plaques, which in turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122352 - lowers blood pressure, which may in turn extend longevity.  Made a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122353 - joke, saying: "Oh and hiking is fun!  You get meet nice people along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122354 - the road who ask interesting questions." By this time severl cars were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122355 - backed up behind her, and one driver honked.  The woman said we would                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122356 - talk again, and then drove off.  After 3rd loop continued uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122357 - Cowell.  Felt okay, so hiked up to the summit of Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122358 - and continued down hill for 2 miles.  Turned corner onto Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122359 - Called Kathy - hiked 1 mile to Treat.  Kathy drove us home.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122360 - total of 21 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122362 -  ..
122363 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122364 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122365 - Dinner - only few bites - lettuce onion tomato diced ham brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122366 - cucmumber avocado mushrooms, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122369 -  ..
122370 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122374 -         ..
122375 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122376 -  310.  181104 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122377 -               0740....BP HR..................................................... 139  72  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122378 -               0745....BP HR..................................................... 129  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122379 -               0750....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122380 -               0750... 20 17200 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122381 -               0750... 80 98100 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122382 -               0750... Naproxen (Aleve) 1 pill 250  67100 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122383 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122384 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122385 -               0750....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122386 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122387 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122388 -         **    0820....pushups......       40  2620 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122389 -          * cr 0920....miles...........  19.0  88.00  294 1361 minutes temp  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122390 -               1530....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122391 -               1540....BP HR..................................................... 110  66 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122392 -               545....BP HR..................................................... 115  66  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122393 -               1700... 40 38140 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122394 -             1 0000............ 10 10940  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122395 -             1 0000............ 10 10530  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122396 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122397 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122398 -               0000... 40 17280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122399 -               0000... 1000  290500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122400 -               2130... 80 98180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122402 -  ..
122403 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122404 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122405 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122407 -  ..
122408 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122409 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122410 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122411 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122412 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122413 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122414 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122416 -             ..
122417 -            [...below on 181112 in this case study record did 2 sets of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122418 -            20 pushups, and during hike wearing heavy sweatshirt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122419 -            suffered recurrence of neck/shoulder pain, so will pause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122420 -            pushups again. ref SDS 0 SXYV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122422 -  ..
122423 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122425 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122426 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122427 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122428 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122429 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122431 -  ..
122432 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122433 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122434 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122435 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122436 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122438 -  ..
122439 - Blood pressure getting better - okay, and heart rate very good today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122440 - after not taking 1000 mg calcium carbonate (Tums) and did not take 40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122441 - units Mylanta gastrointestinal drugs last night, and after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122442 - miles yesterday. per above. ref SDS 0 Q57L  BP and heart rate good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122443 - after hiking 21 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122445 -  ..
122446 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122447 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122448 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122449 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122451 -  ..
122452 - Weight - 175 this morning after hiking 21 miles yesterday; aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122453 - much eating less yesterday on 181103, per above. ref SDS 0 QUXW  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122454 - hiking 21 miles, weight 168, lost 8 pounds. ref SDS 0 Q57L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122456 -  ..
122457 - Pain medication - Naproxen 250 mg today hiking __ miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122458 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122459 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122460 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122461 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122462 - injections for a month or so, but benefits of PRP seem to wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122463 - Reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122464 - lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122465 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122466 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122467 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122468 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122469 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122470 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122471 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122472 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122473 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122474 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122475 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122476 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122477 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122479 -                                                    Pain Level   Day
122480 -         ..
122481 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122482 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122483 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122484 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122485 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122486 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122487 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122488 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122489 -        Tailor's Bunion left foot....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122490 -        Tailor's Bunion right foot...................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122491 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122492 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122493 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122494 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122495 -        Callus big toe left foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122496 -        Callus big toe right foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122497 -        Blister below big toe left foot..............   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122498 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122499 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122500 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122502 -  ..
122503 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122504 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122505 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122506 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122507 - last night on 181103, per above. ref SDS 0 Q57L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122509 -  ..
122510 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122511 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122513 -  ..
122514 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122515 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122517 -  ..
122518 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122519 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122520 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122522 -  ..
122523 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122524 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122525 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122526 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122528 -  ..
122529 - Left foot middle 3 toes - feels like electrical shocks each step -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122530 - today this occurred very briefly and for only very short distance,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122531 - one time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122533 -  ..
122534 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122535 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122537 -  ..
122538 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122539 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122540 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122541 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122542 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122544 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122545 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122546 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122547 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122548 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122549 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122550 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122551 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122552 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122553 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122554 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122555 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122556 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122557 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122558 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122559 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122560 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122561 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122562 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122563 -        again today.................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122565 -  ..
122566 - Today, calluses edge both big toes pain level 2 after mile 17, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122567 - about 2 miles to end of 19 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122569 -  ..
122570 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122571 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122572 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122573 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122574 - skin. ref SDS 0 QRWV  However, duirng hike felt blister pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122575 - on left foot below big toe, about mile 17, and to end of 19 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122577 -  ..
122578 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122579 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122581 -  ..
122582 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122583 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122585 -  ..
122586 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122587 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122588 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122590 -  ..
122591 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122592 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122593 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122594 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122595 - level 3 after 17 miles, so did not do 4th 4-mile loop, despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122596 - Naproxen today, per above. ref SDS 0 J56O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122598 -  ..
122599 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122600 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122601 - energy good.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122602 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122603 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122604 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122605 - against Eastbound traffic flow.  Time mile 4.25 65 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122606 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122607 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122608 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122609 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122610 - maintained pace to Pine Hollow.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122611 - increased pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122612 - back to Crystal Ranch Road about 1 mile.  Felt okay, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122613 - onto Crystal Ranch Road and hiked another 4-mile loop.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122614 - completing 2nd loop, felt okay again, so hiked 3rd 4-mile loop.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122615 - this 3rd loop just before turning corner from Crystal Ranch Road onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122616 - Rollinw Woods Way, and woman in a white jeep/van vehicle stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122617 - the corner and said something about me hiking 20 miles per day all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122618 - over Concord, Clayton and Walnut Creek.  She reached her left arm out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122619 - the window and waved it about to emphasize her point.  Explained hikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122620 - vary each day from 11 to 20+, and today am going for 21 miles.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122621 - repeated that I hike 20 miles everyday.  Thanked her for interest.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122622 - After 3rd loop ending on Ygnacio Vallery Road at corner of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122623 - Ranch Road, feet were hurting calluses on both big toes both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122624 - blister below big toe on left foot, and tailor's bunions on both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122625 - so continued uphill to Cowell.  Turned corner onto Cowell, and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122626 - 1.5 miles home for 19 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122628 -  ..
122629 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122630 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122631 - Dinner - rice hamburger onion brocolli, ice cream donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122633 -  ..
122634 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122637 -         ..
122638 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122639 -  311.  181105 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122640 -               0800....BP HR..................................................... 134  72  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122641 -               0805....BP HR..................................................... 128  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122642 -               0810....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122643 -               0810... 20 17220 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122644 -               0810... 80 98280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122645 -               0810... Naproxen (Aleve) 1 pill 250  67350 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122646 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122647 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122648 -               0750....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122649 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122650 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122651 -         **    0830....pushups......       40  2660 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122652 -          * cr 0925....miles...........  15.0  15.00  233  233 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122653 -               1350....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122654 -               1400....BP HR..................................................... 106  71  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122655 -               1405....BP HR..................................................... 117  71  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122656 -               1700... 40 38180 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122657 -               1800............ 10 10950  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122658 -               1800............ 10 10540  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122659 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122660 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122661 -               0000... 40 17280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122662 -               0000... 1000  290500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122663 -               2130... 80 98360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122665 -  ..
122666 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122667 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122668 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122670 -  ..
122671 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122672 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122673 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122674 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122675 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122676 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122677 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122679 -  ..
122680 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122682 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122683 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122684 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122685 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122686 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122688 -  ..
122689 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122690 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122691 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122692 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122693 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122695 -  ..
122696 - Blood pressure better - okay, and heart rate good today, after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122697 - taking 1000 mg calcium carbonate (Tums) and did not take 40 units                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122698 - Mylanta gastrointestinal drugs last night, and after hiking 19 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122699 - yesterday. per above. ref SDS 0 J56O  BP and heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122700 - hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122702 -  ..
122703 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122704 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122705 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122706 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122708 -  ..
122709 - Weight - 175 this morning after hiking 15 miles yesterday, and even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122710 - after eating more yesterday on 181104, per above. ref SDS 0 QXSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122711 - After hiking 15 miles, weight 170, lost 5 pounds. ref SDS 0 J44O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122713 -  ..
122714 - Pain medication - Naproxen 250 mg today hiking 15 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122715 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122716 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122717 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122718 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122719 - injections for a month or so, but benefits of PRP seem to wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122720 - Reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122721 - lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122722 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122723 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122724 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122725 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122726 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122727 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122728 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122729 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122730 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122731 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122732 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122733 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122734 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122736 -                                                    Pain Level   Day
122737 -         ..
122738 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122739 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122740 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122741 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122742 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122743 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122744 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122745 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122746 -        Tailor's Bunion left foot....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122747 -        Tailor's Bunion right foot...................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122748 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122749 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122750 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122751 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122752 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122753 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122754 -        Blister below big toe left foot..............   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122755 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122756 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122757 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122759 -  ..
122760 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122761 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122762 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122763 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122764 - statins last night on 181104, per above. ref SDS 0 J56O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122766 -  ..
122767 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122768 - depleted, took Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122770 -  ..
122771 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122772 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122774 -  ..
122775 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122776 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122777 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122779 -  ..
122780 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122781 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122782 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122783 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122785 -  ..
122786 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122787 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122789 -  ..
122790 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122791 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122793 -  ..
122794 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122795 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122796 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122797 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122798 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122800 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122801 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122802 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122803 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122804 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122805 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122806 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122807 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122808 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122809 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122810 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122811 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122812 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122813 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122814 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122815 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122816 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122817 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122818 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122819 -        again today.................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122821 -  ..
122822 - Today, calluses edge both big toes pain level 2 after mile 13, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122823 - about 2 miles to end of 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122825 -  ..
122826 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122827 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122828 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122829 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122830 - skin. ref SDS 0 QRWV  However, duirng hike felt blister pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122831 - on left foot below big toe, about mile 13, and to end of 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122833 -  ..
122834 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122835 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122837 -  ..
122838 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122839 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122841 -  ..
122842 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122843 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122844 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122846 -  ..
122847 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122848 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122849 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122850 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122851 - level 3 after 13 miles, so did not do 3rd 4-mile loop, despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122852 - Naproxen today, per above. ref SDS 0 J44O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122854 -  ..
122855 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122856 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122857 - energy good.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122858 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122859 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122860 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122861 - against Eastbound traffic flow.  Time mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122862 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122863 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122864 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122865 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122866 - maintained pace to Pine Hollow.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122867 - increased pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122868 - back to Crystal Ranch Road about 1 mile.  Felt okay, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122869 - onto Crystal Ranch Road and hiked another 4-mile loop.  After 2nd loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122870 - ending on Ygnacio Vallery Road at corner of Crystal Ranch Road, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122871 - were hurting calluses on both big toes both feet, blister below big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122872 - toe on left foot, and tailor's bunions on both feet, so continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122873 - uphill to Cowell.  Turned corner onto Cowell, and hiked 1.5 miles home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122874 - for 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122876 -  ..
122877 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122878 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122879 - Dinner - eggs bacon lettuce tomato onion avocado mushrooms cumcumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122881 -  ..
122882 - Vomiting: 3% - donut clogged in throat until 2200.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122886 -         ..
122887 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122888 -  312.  181106 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122889 -               0840....BP HR..................................................... 146  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122890 -               0845....BP HR..................................................... 134  72  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122891 -               0850....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122892 -               0850... 20 17240 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122893 -               0850... 80 98440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122894 -               0850... Naproxen (Aleve) 1 pill 250  67700 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122895 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122896 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122897 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122898 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122899 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122900 -         **    0900....pushups......       40  2700 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122901 -          * cr 1050....miles...........  15.0  30.00  234  467 minutes temp  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122902 -               1520....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122903 -               1530....BP HR..................................................... 112  63  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122904 -               1535....BP HR..................................................... 107  66  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122905 -               1700... 40 38220 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122906 -             1 0000............ 10 10950  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122907 -             1 0000............ 10 10540  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122908 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122909 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122910 -               0000... 40 17280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122911 -               0000... 1000  290500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122912 -               2130... 80 98520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122914 -  ..
122915 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122916 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122917 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122919 -  ..
122920 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122921 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122922 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122923 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122924 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122925 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122926 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122928 -  ..
122929 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122931 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122932 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122933 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122934 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122935 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122937 -  ..
122938 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122939 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122940 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122941 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122942 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122944 -  ..
122945 - Blood pressure worse/poor - okay, and heart rate very good today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122946 - after not taking 1000 mg calcium carbonate (Tums) and did not take 40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122947 - units Mylanta gastrointestinal drugs last night, and after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122948 - miles yesterday. per above. ref SDS 0 J44O  BP and heart rate okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122949 - after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122951 -  ..
122952 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122953 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122954 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122955 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122957 -  ..
122958 - Weight - 175 this morning after hiking 15 miles yesterday, and even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122959 - after eating more yesterday on 181105, per above. ref SDS 0 RQRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122960 - After hiking 15 miles, weight 170, lost 5 pounds. ref SDS 0 W95N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122962 -  ..
122963 - Pain medication - Naproxen 250 mg today hiking __ miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122964 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122965 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122966 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122967 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122968 - injections for a month or so, but benefits of PRP seem to wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122969 - Reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122970 - lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122971 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122972 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122973 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122974 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122975 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122976 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122977 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122978 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122979 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122980 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122981 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122982 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122983 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122985 -                                                    Pain Level   Day
122986 -         ..
122987 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122988 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122989 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122990 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122991 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122992 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122993 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122994 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122995 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122996 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122997 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122998 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122999 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123000 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123001 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123002 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123003 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123004 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123005 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123006 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123008 -  ..
123009 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123010 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123011 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123012 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123013 - last night on 181105, per above. ref SDS 0 J44O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123015 -  ..
123016 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123017 - depleted, but did not take naproxen 250 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123019 -  ..
123020 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123021 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123023 -  ..
123024 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123025 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123026 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123028 -  ..
123029 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123030 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123031 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123032 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123034 -  ..
123035 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123036 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123038 -  ..
123039 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123040 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123042 -  ..
123043 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123044 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123045 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123046 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123047 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123049 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123050 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123051 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123052 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123053 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123054 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123055 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123056 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123057 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123058 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123059 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123060 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123061 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123062 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123063 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123064 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123065 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123066 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123067 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123068 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123069 -        again today.................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123071 -  ..
123072 - Today, calluses edge both big toes pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123074 -  ..
123075 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123076 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123077 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123078 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123079 - skin. ref SDS 0 QRWV  During hike blister pain level 0 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123080 - below big toe, entire distance 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123082 -  ..
123083 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123084 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123086 -  ..
123087 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123088 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123090 -  ..
123091 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123092 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123093 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123095 -  ..
123096 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123097 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123098 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123099 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123100 - level 0 entire 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123102 -  ..
123103 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123104 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123105 - energy good.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123106 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123107 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123108 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123109 - against Eastbound traffic flow.  Time mile 4.25 66 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123110 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123111 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123112 - Ranch Road.  Good pace going 1 mile uphill against mild wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123113 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123114 - Rolling Woods Way maintained pace to Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123115 - Pine Hollow and increased pace hiking 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123116 - Road.  Hiked West back to Crystal Ranch Road about 1 mile.  Felt okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123117 - so turned corner onto Crystal Ranch Road and hiked another 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123118 - loop.  After 2nd loop ending on Ygnacio Vallery Road at corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123119 - Crystal Ranch Road, seemed fatigued, so continued uphill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123120 - Turned corner onto Cowell, and hiked 1.5 miles home for 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123122 -  ..
123123 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123124 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123125 - Dinner - spaghetti lettuce tomato onion asparagus avocado mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123126 - cumcumber, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123128 -  ..
123129 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123134 -         ..
123135 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123136 -  313.  181107 0620..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123137 -               0650....BP HR..................................................... 147  80  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123138 -               0655....BP HR..................................................... 135  73  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123139 -               0700....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123140 -               0700... 20 17260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123141 -               0700... 80 98600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123142 -               0000... Naproxen (Aleve) 1 pill 250  67700 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123143 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123144 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123145 -               1000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123146 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123147 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123148 -         **    1005....pushups......       40  2740 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123149 -          * cr 1010....miles...........  11.0  41.00  169  636 minutes temp  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123150 -               1300....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123151 -               1355....BP HR..................................................... 113  61  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123152 -               1400....BP HR..................................................... 114  60  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123153 -               1700... 40 38260 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123154 -               1830............ 10 10960  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123155 -               1830............ 10 10550  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123156 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123157 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123158 -               0000... 40 17280 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123159 -               0000... 1000  290500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123160 -               2110... 80 98680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123162 -  ..
123163 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123164 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123165 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123167 -  ..
123168 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123169 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123170 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123171 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123172 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123173 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123174 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123176 -  ..
123177 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123179 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123180 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123181 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123182 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123183 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123185 -  ..
123186 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123187 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123188 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123189 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123190 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123192 -  ..
123193 - Blood pressure poor - okay, and heart rate good today, after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123194 - taking 1000 mg calcium carbonate (Tums) and did not take 40 units                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123195 - Mylanta gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123196 - yesterday. per above. ref SDS 0 W95N  BP and heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123197 - hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123199 -  ..
123200 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123201 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123202 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123203 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123205 -  ..
123206 - Weight - 174 this morning after hiking 15 miles yesterday, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123207 - eating less yesterday on 181106, per above. ref SDS 0 RSVW  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123208 - hiking 11 miles, weight 170, lost 4 pounds. ref SDS 0 Y14L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123210 -  ..
123211 - Pain medication - none - did not take Naproxen 250 mg today hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123212 - miles with medication suppressing pain - however, Naproxen will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123213 - increase LDL in lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123214 - treatment on 180824 1515, ref SDS A8 0001, reduced need for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123215 - medication.  NSAID's like naproxen and ibuprofen suppress performance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123216 - of PRP injections for a month or so, but benefits of PRP seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123217 - wearing off.  Reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123218 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123219 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123220 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123221 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123222 - ref SDS 0 SQTY  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123223 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123224 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123225 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123226 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123227 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123228 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123229 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123230 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123231 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123232 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123234 -                                                    Pain Level   Day
123235 -         ..
123236 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123237 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123238 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123239 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123240 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123241 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123242 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123243 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123244 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123245 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123246 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123247 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123248 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123249 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123250 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123251 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123252 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123253 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123254 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123255 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123257 -  ..
123258 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123259 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123260 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123261 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123262 - statins last night on 181106, per above. ref SDS 0 W95N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123264 -  ..
123265 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123266 - depleted, so took Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123268 -  ..
123269 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123270 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123272 -  ..
123273 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123274 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123275 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123277 -  ..
123278 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123279 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123280 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123281 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123283 -  ..
123284 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123285 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123287 -  ..
123288 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123289 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123291 -  ..
123292 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123293 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123294 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123295 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123296 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123298 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123299 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123300 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123301 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123302 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123303 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123304 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123305 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123306 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123307 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123308 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123309 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123310 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123311 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123312 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123313 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123314 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123315 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123316 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123317 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123318 -        again today.................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123320 -  ..
123321 - Today, calluses edge both big toes pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123323 -  ..
123324 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123325 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123326 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123327 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123328 - skin. ref SDS 0 QRWV  During hike blister pain level 0 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123329 - below big toe, entire distance 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123331 -  ..
123332 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123333 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123335 -  ..
123336 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123337 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123339 -  ..
123340 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123341 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123342 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123344 -  ..
123345 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123346 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123347 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123348 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123349 - level 0 entire 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123351 -  ..
123352 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123353 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123354 - energy good.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123355 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123356 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123357 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123358 - against Eastbound traffic flow.  Time mile 4.25 66 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123359 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123360 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123361 - Ranch Road.  Good pace going 1 mile uphill against mild wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123362 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123363 - Rolling Woods Way maintained pace to Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123364 - Pine Hollow and increased pace hiking 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123365 - Road.  Hiked West back to Crystal Ranch Road about 1 mile.  Felt okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123366 - so turned corner onto Crystal Ranch Road and hiked another 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123367 - loop.  After 2nd loop ending on Ygnacio Vallery Road at corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123368 - Crystal Ranch Road, seemed fatigued, so continued uphill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123369 - Turned corner onto Cowell, and hiked 1.5 miles home for 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123371 -  ..
123372 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123373 - Lunch - sandwich roast beef tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123374 - Dinner - pasta hamburger onion asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123376 -  ..
123377 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123381 -         ..
123382 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123383 -  314.  181108 0300..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123384 -               0310....BP HR..................................................... 146  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123385 -               0315....BP HR..................................................... 136  71  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123386 -               0320....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123387 -               0320... 20 17260 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123388 -               0320... 80 98600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123389 -               0320....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123390 -               1020... Naproxen (Aleve) 1 pill 250  67700 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123391 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123392 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123393 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123394 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123395 -         **    0320....pushups......       40  2780 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123396 -               0445....miles...........  12.0  53.00  182  818 minutes temp  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123397 -               0750....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123398 -               0810....BP HR..................................................... 102  63 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123399 -               0815....BP HR..................................................... 107  61 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123400 -               1750... 40 38260 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123401 -             1 0000............ 10 10960  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123402 -             1 0000............ 10 10550  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123403 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123404 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123405 -               2110... 40 17380 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123406 -               2130... 1000  291500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123407 -               2250... 80 98680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123409 -  ..
123410 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123411 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123412 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123414 -  ..
123415 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123416 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123417 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123418 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123419 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123420 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123421 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123423 -  ..
123424 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123426 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123427 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123428 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123429 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123430 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123432 -  ..
123433 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123434 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123435 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123436 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123437 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123439 -  ..
123440 - Blood pressure poor and heart rate good today, after taking 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123441 - calcium carbonate (Tums) and did not take 40 units Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123442 - gastrointestinal drugs last night, and after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123443 - yesterday. per above. ref SDS 0 Y14L  BP and heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123444 - hiking 12 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123446 -  ..
123447 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123448 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123449 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123450 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123452 -  ..
123453 - Weight - 175 this morning after hiking 11 miles yesterday, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123454 - eating more yesterday on 181107, per above. ref SDS 0 Y14L  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123455 - hiking 12 miles, weight 170, lost 5 pounds. ref SDS 0 Y14L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123457 -  ..
123458 - Pain medication - none to avoid conflict with CCTA radiology test -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123459 - did not take Naproxen 250 mg today hiking 12 miles with medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123460 - suppressing pain - however, Naproxen will increase LDL in lab, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123461 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123462 - 1515, ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123463 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123464 - month or so, but benefits of PRP seem to wearing off.  Reduces risk of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123465 - daily acetaminophen 1000 mg causing intoxication that lowers HDL for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123466 - lab today.  Naproxex 1 pill 250 mg seems smaller and so reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123467 - getting stuck above LESV and causing ulceration.  Seemed like Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123468 - pill (NSAID which conflicts with PRP line of care) got stuck on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123469 - 180702, reported on 180703, per above. ref SDS 0 SQTY  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123470 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123471 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123472 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123473 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123474 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123475 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123476 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123477 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123478 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123479 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123481 -                                                    Pain Level   Day
123482 -         ..
123483 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123484 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123485 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123486 -        Knee left......glucosamine chondroitin.......   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123487 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123488 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123489 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123490 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123491 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123492 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123493 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123494 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123495 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123496 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123497 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123498 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123499 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123500 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123501 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123502 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123504 -  ..
123505 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123506 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123507 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123508 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123509 - statins last night on 181106, per above. ref SDS 0 W95N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123511 -  ..
123512 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123513 - depleted, but did not take Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123515 -  ..
123516 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123517 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123519 -  ..
123520 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123521 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123522 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123524 -  ..
123525 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123526 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123527 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123528 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123530 -  ..
123531 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123532 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123534 -  ..
123535 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123536 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123538 -  ..
123539 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123540 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123541 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123542 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123543 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123545 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123546 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123547 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123548 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123549 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123550 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123551 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123552 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123553 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123554 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123555 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123556 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123557 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123558 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123559 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123560 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123561 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123562 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123563 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123564 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123565 -        again today.................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123567 -  ..
123568 - Today, calluses edge both big toes pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123570 -  ..
123571 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123572 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123573 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123574 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123575 - skin. ref SDS 0 QRWV  During hike blister pain level 0 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123576 - below big toe, entire distance 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123578 -  ..
123579 - Left knee - pain level 2 on JFK about mile 10, on nearing Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123580 - Highway, after starting uphill toward Cliff House, pain subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123582 -  ..
123583 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123584 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123586 -  ..
123587 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123588 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123589 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123591 -  ..
123592 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123593 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123594 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123595 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123596 - level 0 entire 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123598 -  ..
123599 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123600 - Weather was clear and cold, but no fog.  No traffic at 0445, so could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123601 - hike on asphault paved street, rather than hard concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123602 - Still dark, so could not see the ocean.  Walking downhill from the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123603 - on 42nd street, to Point Lobos both knees pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123604 - onto Point Lobos was able to go faster downhill to Cliff House, than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123605 - on prior hikes because knees and feet responding well to PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123606 - treatment on 180824 1515. ref SDS A8 0001  Continued downhill to The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123607 - Great Highway along Ocean Beach.  Hiked on flat ground along Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123608 - Highway to JFK drive.  Turned corner onto JFK and maintained good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123609 - going slightly uphill into the park.  At this hour 0500, still totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123610 - dark.  Could not see the road, trees, etc.  Saw the early morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123611 - hiker on the other side of the street, and going toward the ocean.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123612 - Turned corner and continued past Buffalo compound.  About mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123613 - nearng Hellman Hollow beginning to see few bikers and a few runners.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123614 - Hiking past De Young Museum there are quite a few bikers and a lot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123615 - more runners - fewer hikers.  Nearing the end of JFK Drive, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123616 - the street to make left turn onto Stanyon.  Hiked uphill on Stanyon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123617 - several blocks to Fulton; crossed over and hiked few more blocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123618 - downhill to Paramont street across from Koret Health and Recreation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123619 - Center, part of USF.  Touched the wall at Ann's house - time 0620.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123620 - Turned and started back - still pain level 0.  Morning commute traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123621 - increasing through the park on JFK.  Hiked on South side against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123622 - traffic going West.  Passing De Young Museum increased pace - feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123623 - very good.  Nearing 19th street bridge, was nice seeing the waterfall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123624 - was running, since it was now 0650.  Hiked under the bridge and past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123625 - Helman Hollow.  Continuing past the Buffalow Compound crossed over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123626 - North side of JFK going with traffic.  After turning the corner at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123627 - Lincoln Avenue, felt left knee pain level 2, but only for about .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123628 - miles.  Pain seemed to subside before turning corner onto Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123629 - Highway.  Sun was just rising so could see the ocean - beautiful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123630 - sight.  Hiked North on Great Highway toward the Cliff House and the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123631 - hospital.  Increased pace hiking up the steep hill.  Seemed to have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123632 - surge of energy.  At the Cliff House turned onto Point Lobo going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123633 - East.  Felt good maintaining fast pace hiking up this steep part of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123634 - the route.  Continuning uphill to 42nd street - never broke stride.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123635 - Turned onto 42nd street and maintained pace going up final steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123636 - to the VA hospital campus.  Arrived at 0750.  Did warmdown around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123637 - parking lot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123639 -  ..
123640 - Breakfast - NPO until after CCTA test - drinking water per guidance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123641 - Lunch - hamburger fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123642 - Dinner - pasta tomato hamburger asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123644 -  ..
123645 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123649 -         ..
123650 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123651 -  315.  181109 0655..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123652 -               0710....BP HR..................................................... 143  68  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123653 -               0715....BP HR..................................................... 137  71  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123654 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123655 -               0720... 20 17280 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123656 -               0720... 80 98760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123657 -               0720....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123658 -               0720... Naproxen (Aleve) 1 pill 250  67700 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123659 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123660 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123661 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123662 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123663 -         **    0820....pushups......       40  2820 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123664 -          * cr 1145....miles...........  15.0  68.00  226 1044 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123665 -               1600....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123666 -               1610....BP HR..................................................... 116  70  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123667 -               1615....BP HR..................................................... 123  59  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123668 -               1700... 40 38300 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123669 -               1840............ 10 10970  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123670 -               1840............ 10 10560  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123671 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123672 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123673 -               2050... 40 17420 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123674 -               2120... 1000  292500 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123675 -               2210... 80 98840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123677 -  ..
123678 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123679 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123680 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123682 -  ..
123683 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123684 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123685 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123686 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123687 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123688 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123689 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123691 -  ..
123692 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123694 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123695 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123696 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123697 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123698 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123700 -  ..
123701 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123702 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123703 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123704 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123705 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123707 -  ..
123708 - Blood pressure poor and heart rate very good today, after taking 1000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123709 - mg calcium carbonate (Tums) and taking 40 units Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123710 - gastrointestinal drugs last night, and after hiking 12 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123711 - yesterday. per above. ref SDS 0 H85I  BP and heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123712 - hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123714 -  ..
123715 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123716 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123717 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123718 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123720 -  ..
123721 - Weight - 175 this morning after hiking 12 miles yesterday, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123722 - eating more yesterday on 181107, per above. ref SDS 0 RVQR  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123723 - hiking 15 miles, weight 171, lost 4 pounds. ref SDS 0 D16G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123725 -  ..
123726 - Pain medication - Naproxen 250 mg today hiking 15 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123727 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123728 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123729 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123730 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123731 - injections for a month or so, but benefits of PRP seem to wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123732 - Reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123733 - lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123734 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123735 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123736 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123737 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123738 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123739 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123740 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123741 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123742 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123743 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123744 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123745 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123746 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123748 -                                                    Pain Level   Day
123749 -         ..
123750 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123751 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123752 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123753 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123754 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123755 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123756 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123757 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123758 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123759 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123760 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123761 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123762 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123763 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123764 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123765 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123766 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123767 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123768 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123769 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123771 -  ..
123772 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123773 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123774 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123775 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123776 - statins last night on 181106, per above. ref SDS 0 W95N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123778 -  ..
123779 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123780 - depleted, but did not take Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123782 -  ..
123783 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123784 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123786 -  ..
123787 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123788 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123789 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123791 -  ..
123792 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123793 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123794 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123795 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123797 -  ..
123798 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123799 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123801 -  ..
123802 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123803 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123805 -  ..
123806 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123807 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123808 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123809 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123810 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123812 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123813 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123814 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123815 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123816 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123817 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123818 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123819 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123820 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123821 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123822 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123823 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123824 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123825 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123826 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123827 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123828 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123829 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123830 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123831 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123832 -        again today.................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123834 -  ..
123835 - Today, calluses edge both big toes pain level 2 lasst 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123837 -  ..
123838 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123839 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123840 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123841 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123842 - skin. ref SDS 0 QRWV  During hike blister pain level 0 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123843 - below big toe, entire distance 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123845 -  ..
123846 - Left knee - pain level 2 on JFK about mile 10, on nearing Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123847 - Highway, after starting uphill toward Cliff House, pain subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123849 -  ..
123850 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123851 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123853 -  ..
123854 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123855 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123856 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123858 -  ..
123859 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123860 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123861 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123862 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123863 - level 0 entire 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123865 -  ..
123866 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123867 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123868 - energy good.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123869 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123870 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123871 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123872 - against Eastbound traffic flow.  Time mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123873 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123874 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123875 - Ranch Road.  Good pace going 1 mile uphill against mild wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123876 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123877 - Rolling Woods Way maintained pace to Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123878 - Pine Hollow and increased pace hiking 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123879 - Road.  Hiked West back to Crystal Ranch Road about 1 mile.  Felt okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123880 - so turned corner onto Crystal Ranch Road and hiked another 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123881 - loop.  Feet and knees felt very good today.  After 2nd loop ending on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123882 - Ygnacio Vallery Road at corner of Crystal Ranch Road, seemed fatigued,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123883 - so continued uphill to Cowell.  Turned corner onto Cowell, and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123884 - 1.5 miles home for 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123886 -  ..
123887 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123888 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123889 - Dinner - eggs hot dog cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123891 -  ..
123892 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123896 -         ..
123897 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123898 -  316.  181110 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123899 -               0810....BP HR..................................................... 155  77  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123900 -               0815....BP HR..................................................... 151  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123901 -               0820....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123902 -               0820... 20 17300 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123903 -               0820... 80 98920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123904 -               0820....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123905 -               0820... Naproxen (Aleve) 1 pill 250  67950 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123906 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123907 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123908 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123909 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123910 -         **    0820....pushups......       40  2860 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123911 -          * cr 1025....miles...........  21.0  89.00  331 1375 minutes temp  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123912 -               1625....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123913 -               1630....BP HR..................................................... 115  70  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123914 -               1635....BP HR..................................................... 122  74  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123915 -               0000... 40 38300 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123916 -             1 0000............ 10 10970  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123917 -             1 0000............ 10 10560  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123918 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123919 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123920 -               1950... 40 17460 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123921 -               2000... 1500  294000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123922 -               2210... 80 99000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123924 -  ..
123925 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123926 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123927 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123929 -  ..
123930 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123931 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123932 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123933 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123934 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123935 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123936 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123938 -  ..
123939 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123941 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123942 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123943 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123944 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123945 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123947 -  ..
123948 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123949 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123950 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123951 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123952 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123954 -  ..
123955 - Blood pressure poor and heart rate very good today, after taking 1000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123956 - mg calcium carbonate (Tums) and taking 40 units Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123957 - gastrointestinal drugs last night, and after hiking 15 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123958 - yesterday. per above. ref SDS 0 D16G  BP and heart rate okay after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123959 - hiking 21 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123961 -  ..
123962 - Try pausing Pantoprazole today, to lower blood pressure, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123963 - previously ending prior PPI-Omeprazole, caused blood pressure to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123964 - decline significantly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123966 -  ..
123967 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123968 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123969 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123970 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123972 -  ..
123973 - Weight - 173 this morning after hiking 15 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123974 - yesterday on 181109, per above. ref SDS 0 SQTY  After hiking 21 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123975 - weight 168, lost 5 pounds. ref SDS 0 XT6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123977 -  ..
123978 - Pain medication - Naproxen 250 mg today hiking 21 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123979 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123980 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123981 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123982 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123983 - injections for a month or so, but benefits of PRP seem to wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123984 - Reduces risk of daily acetaminophen 1000 mg causing intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123985 - lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123986 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123987 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123988 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123989 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123990 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123991 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123992 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123993 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123994 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123995 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123996 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123997 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123998 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124000 -                                                    Pain Level   Day
124001 -         ..
124002 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124003 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124004 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124005 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124006 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124007 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124008 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124009 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124010 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124011 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124012 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124013 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124014 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124015 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124016 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124017 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124018 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124019 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124020 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124021 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124023 -  ..
124024 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124025 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124026 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124027 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124028 - last night on 181109, per above. ref SDS 0 D16G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124030 -  ..
124031 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124032 - depleted, but did not take Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124034 -  ..
124035 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124036 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124038 -  ..
124039 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124040 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124041 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124043 -  ..
124044 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124045 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124046 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124047 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124049 -  ..
124050 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124051 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124053 -  ..
124054 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124055 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124057 -  ..
124058 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124059 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124060 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124061 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124062 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124064 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124065 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124066 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124067 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124068 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124069 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124070 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124071 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124072 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124073 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124074 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124075 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124076 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124077 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124078 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124079 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124080 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124081 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124082 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124083 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124084 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124085 -        again today.................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124087 -  ..
124088 - Today, calluses edge both big toes pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124090 -  ..
124091 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124092 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124093 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124094 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124095 - skin. ref SDS 0 QRWV  During hike blister pain level 0 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124096 - below big toe, entire distance 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124098 -  ..
124099 - Left knee - pain level 2 on JFK about mile 10, on nearing Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124100 - Highway, after starting uphill toward Cliff House, pain subsided.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124102 -  ..
124103 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124104 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124106 -  ..
124107 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124108 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124109 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124111 -  ..
124112 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124113 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124114 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124115 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124116 - level 0 entire 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124118 -  ..
124119 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124120 - ref SDS 22 HG3F  Did not hike extra 1 mile at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124121 - energy good.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124122 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124123 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124124 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124125 - against Eastbound traffic flow.  Time mile 4.25 64 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124126 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124127 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124128 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124129 - pace on flat ground.  Past a woman getting into her car.  She rolled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124130 - down the window and asked if I hike through Walnut Creek, saying she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124131 - has seen me all over.  She also asked how far I hike everyday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124132 - Explained today, plan to hike on Ygnacio Valley Road down to Oak Grove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124133 - and then over to Treat.  She said Oak Grove is in Walnut Creek.  Also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124134 - said I hike most everyday, from 11 - 22 miles.  The woman said she and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124135 - her husband are planning to start hiking when they retire next year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124136 - Wished her having a good day, and continued hike.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124137 - hill toward Rolling Woods Way maintained pace to Pine Hollow.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124138 - halfway down the hill saw white jeep coming in other direction.  It                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124139 - looked like vehicle last week when a woman driver stopped at corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124140 - Crystal Ranch Road and Rolling Woods Way and asked about my hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124141 - miles, reported in this record on 181103, per above. ref SDS 0 QXQV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124142 - Today, could see the driver's face, but noticed a hand raised above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124143 - the steering wheel and waving.  Assumed it was the same woman, and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124144 - waved back.  Turned corner onto Pine Hollow and increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124145 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124146 - Road about 1 mile.  Felt okay, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124147 - Road and hiked another 4-mile loop.  On Pine Hollow, encountered a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124148 - biker, Mr Brick.  We have spoken previously, maybe 2 years ago, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124149 - wave passing on opposite sides of the street from time-to-time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124150 - Today, he was on my side and stopped to chat.  He is 76, and will bike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124151 - the mileage equal to the year, so this year he expects to reach 2019                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124152 - miles.  Wished him well, and contined the hike.  Feet and knees felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124153 - very good today.  After 2nd loop ending on Ygnacio Vallery Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124154 - corner of Crystal Ranch Road, seemed strong, so turned corner and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124155 - 3rd 4-mile loop.  After the 3rd loop continued uphill to Cowell.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124156 - good so increased pace to top of summit.  Maintained fast pace for 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124157 - miles going slightly downhill to Oak Grove.  Turned corner and called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124158 - Kathy to meet at Treat.  Hiked another mile to Treat, and Kathy drove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124159 - us home for 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124161 -  ..
124162 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124163 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124164 - Dinner - meatloaf mashed potatoes squash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124166 -  ..
124167 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124171 -         ..
124172 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124173 -  317.  181111 0649..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124174 -               0705....BP HR..................................................... 153  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124175 -               0710....BP HR..................................................... 145  73  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124176 -               0710....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124177 -               0710... 20 17320 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124178 -               0710... 80 99080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124179 -               0710....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124180 -               0710... Naproxen (Aleve) 1 pill 250  68200 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124181 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124182 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124183 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124184 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124185 -         **    0720....pushups......       40  2900 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124186 -          * cr 1005....miles...........  16.0 105.00  247 1622 minutes temp  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124187 -               1350....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124188 -               1355....BP HR..................................................... 115  66  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124189 -               1400....BP HR..................................................... 120  62  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124190 -               1630... 40 38340 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124191 -               1830............ 10 10980  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124192 -               1830............ 10 10570  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124193 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124194 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124195 -               1950... 40 17500 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124196 -               2000... 1000  295000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124197 -               2210... 80 99160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124199 -  ..
124200 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124201 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124202 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124204 -  ..
124205 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124206 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124207 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124208 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124209 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124210 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124211 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124213 -  ..
124214 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124216 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124217 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124218 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124219 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124220 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124222 -  ..
124223 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124224 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124225 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124226 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124227 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124229 -  ..
124230 - Blood pressure poor 153 77, and heart rate very good 47, today, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124231 - pausing Pantoprazole last night, and taking 1000 mg calcium carbonate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124232 - (Tums) and taking 40 units Mylanta gastrointestinal, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124233 - Naproxen 250 mg drugs last night, and after hiking 21 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124234 - per above. ref SDS 0 XT6N  BP and heart rate poor after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124235 - miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124237 -  ..
124238 - Would like to pause Naproxen, since high blood pressure is listed as a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124239 - side effect.  Will try this tomorrow, after the hike today.  Pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124240 - Pantoprazole last night, per above, ref SDS 0 XT6N, did not seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124241 - lower blood pressure this morning. ref SDS 0 XT6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124243 -  ..
124244 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124245 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124246 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124247 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124249 -  ..
124250 - Weight - 173 this morning after hiking 21 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124251 - yesterday on 181110, per above. ref SDS 0 SSXP  After hiking 16 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124252 - weight 169, lost 4 pounds. ref SDS 0 ZR4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124254 -  ..
124255 - Pain medication - Naproxen 250 mg today hiking 15 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124256 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124257 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124258 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124259 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124260 - injections for a month or so, but benefits of PRP seem to be wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124261 - off.  Reduces risk of daily acetaminophen 1000 mg causing intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124262 - that lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124263 - and so reduces risk getting stuck above LESV and causing ulceration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124264 - Naproxen seems to increase blood pressure, see above. ref SDS 0 XT6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124265 - Seemed like Naproxen pill (NSAID which conflicts with PRP line of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124266 - care) got stuck on 180702, reported on 180703, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124267 - SQTY  Hydrocodone does not raise blood pressure nor lower HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124268 - received on 180730 1726. ref SDS A3 0O9K  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124269 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124270 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124271 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124272 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124273 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124274 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124275 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124276 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124277 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124278 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124280 -                                                    Pain Level   Day
124281 -         ..
124282 -        Shoulder blade below neck right side.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124283 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124284 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124285 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124286 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124287 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124288 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124289 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124290 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124291 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124292 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124293 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124294 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124295 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124296 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124297 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124298 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124299 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124300 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124301 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124303 -  ..
124304 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124305 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124306 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124307 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124308 - last night on 181109, per above. ref SDS 0 D16G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124310 -  ..
124311 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124312 - depleted, but did not take Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124314 -  ..
124315 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124316 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124318 -  ..
124319 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124320 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124321 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124323 -  ..
124324 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124325 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124326 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124327 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124329 -  ..
124330 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124331 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124333 -  ..
124334 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124335 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124337 -  ..
124338 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124339 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124340 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124341 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124342 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124344 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124345 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124346 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124347 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124348 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124349 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124350 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124351 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124352 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124353 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124354 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124355 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124356 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124357 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124358 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124359 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124360 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124361 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124362 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124363 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124364 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124365 -        again today.................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124367 -  ..
124368 - Today, calluses edge both big toes pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124370 -  ..
124371 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124372 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124373 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124374 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124375 - skin. ref SDS 0 QRWV  During hike blister pain level 0 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124376 - below big toe, entire distance 15 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124378 -  ..
124379 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124380 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124382 -  ..
124383 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124384 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124386 -  ..
124387 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124388 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124389 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124391 -  ..
124392 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124393 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124394 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124395 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124396 - level 0 entire 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124398 -  ..
124399 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124400 - ref SDS 22 HG3F  Hiked extra 1 mile at the end.  Starting energy good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124401 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124402 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124403 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124404 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124405 - traffic flow.  Time mile 4.25 67 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124406 - Valley Road going West against no wind.  At mile 5 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124407 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124408 - going 1 mile uphill.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124409 - Going down steep hill toward Rolling Woods Way maintained pace to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124410 - Hollow.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124411 - mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124412 - Road about 1 mile.  Felt okay, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124413 - Road and hiked another 4-mile loop.  Feet and knees felt very good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124414 - today.  After 2nd loop ending on Ygnacio Vallery Road at corner of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124415 - Crystal Ranch Road, continued uphill to Cowell.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124416 - hiked 1 mile to Treat.  Hiked extra mile loop for 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124418 -  ..
124419 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124420 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124421 - Dinner - lettuce tomato avocado cumcumber mushrooms, custard milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124423 -            [On 181112 1720 lab next day reporting albumin 4.9 High,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124424 -            may indicated this is an effective diet. ref SDS B6 015M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124426 -  ..
124427 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124431 -         ..
124432 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124433 -  318.  181112 0723..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124434 -               0755....BP HR..................................................... 152  83  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124435 -               0800....BP HR..................................................... 172  73  45                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124436 -               0810....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124437 -               0810... 20 17340 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124438 -               0810... 80 99240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124439 -               0810....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124440 -               0000... Naproxen (Aleve) 1 pill 250  68200 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124441 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124442 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124443 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124444 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124445 -         **    0820....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124446 -        *** cr 1005....miles...........  21.0  21.00  328  328 minutes temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124447 -               1640....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124448 -               1645....BP HR..................................................... 116  81 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124449 -               1400....BP HR..................................................... 117  79  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124450 -               1700... 40 38380 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124451 -             1 0000............ 10 10980  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124452 -             1 0000............ 10 10570  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124453 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124454 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124455 -               1950... 40 17540 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124456 -               2000... 1000  296000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124457 -               2210... 80 99320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124459 -  ..
124460 - *** Reached 3,000 miles for the year, with another 45 days to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124461 - year.  This is double what was hiked last year, and 300 miles more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124462 - than any prior year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124464 - cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124465 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124466 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124468 -  ..
124469 - ** Pushups - on 181104 trying military pushups again after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124470 - 181102, felt slight pain in back after 1st set 20 pushups, so paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124471 - again after previously resuming on 181028, doing military pushups with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124472 - feet elevated on chair, after pausing again on 181021.  Tried them on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124473 - 181020, ref SDS 0 HN5K, first time since 181007, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124474 - ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124475 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124477 -  ..
124478 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124480 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124481 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124482 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124483 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124484 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124486 -  ..
124487 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124488 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124489 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124490 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124491 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124493 -  ..
124494 - Blood pressure poor and heart rate very good today, after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124495 - Pantoprazole last night, and taking 1000 mg calcium carbonate (Tums)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124496 - and taking 40 units Mylanta gastrointestinal drugs last night, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124497 - after hiking 21 miles yesterday. per above. ref SDS 0 XT6N  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124498 - heart rate poor after hiking 21 miles today.  Part of this is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124499 - significant drop in ambient temperature the past week.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124501 -  ..
124502 - Paused Naproxen, since high blood pressure is listed as a side effect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124503 - Will try this tomorrow, after the hike today.  Pausing Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124504 - last night, per above, ref SDS 0 XT6N, did not seem to lower blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124505 - pressure this morning. ref SDS 0 XT6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124507 -  ..
124508 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124509 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124510 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124511 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124513 -  ..
124514 - Weight - 173 this morning after hiking 21 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124515 - yesterday on 181110, per above. ref SDS 0 SSXP  After hiking 21 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124516 - weight 168, lost 5 pounds. ref SDS 0 4U4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124518 -  ..
124519 - Pain medication - Paused Naproxen 250 mg today hiking 21 miles without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124520 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124521 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124522 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124523 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124524 - injections for a month or so, but benefits of PRP seem to be wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124525 - off.  Reduces risk of daily acetaminophen 1000 mg causing intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124526 - that lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124527 - and so reduces risk getting stuck above LESV and causing ulceration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124528 - Naproxen seems to increase blood pressure, see above. ref SDS 0 XT6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124529 - Seemed like Naproxen pill (NSAID which conflicts with PRP line of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124530 - care) got stuck on 180702, reported on 180703, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124531 - SQTY  Hydrocodone does not raise blood pressure nor lower HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124532 - received on 180730 1726. ref SDS A3 0O9K  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124533 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124534 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124535 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124536 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124537 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124538 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124539 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124540 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124541 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124542 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124544 -                                                    Pain Level   Day
124545 -         ..
124546 -        Neck right side spinal column 6".............   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124547 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124548 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124549 -        Knee left......glucosamine chondroitin.......   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124550 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124551 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124552 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124553 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124554 -        Tailor's Bunion left foot....................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124555 -        Tailor's Bunion right foot...................   3         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124556 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124557 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124558 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124559 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124560 -        Callus big toe left foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124561 -        Callus big toe right foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124562 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124563 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124564 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124565 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124567 -            [On 181112 1720 lab today reports WBC 12.4, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124568 -            immune system fighting injuries. ref SDS B5 FK6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124570 -  ..
124571 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124572 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124573 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124574 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124575 - last night on 181111, per above. ref SDS 0 ZR4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124577 -  ..
124578 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124579 - nutrients depleted, but did not take Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124581 -  ..
124582 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124583 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124585 -  ..
124586 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124587 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124588 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124590 -  ..
124591 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124592 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124593 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124594 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124596 -  ..
124597 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124598 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124600 -  ..
124601 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124602 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124604 -  ..
124605 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124606 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124607 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124608 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124609 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124611 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124612 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124613 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124614 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124615 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124616 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124617 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124618 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124619 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124620 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124621 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124622 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124623 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124624 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124625 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124626 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124627 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124628 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124629 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124630 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124631 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124632 -        again today.................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124634 -  ..
124635 - Today, calluses edge both big toes pain level 2 last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124637 -  ..
124638 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124639 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124640 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124641 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124642 - skin. ref SDS 0 QRWV  During hike blister pain level 2 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124643 - below big toe, last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124645 -  ..
124646 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124647 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124649 -  ..
124650 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124651 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124653 -  ..
124654 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124655 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124656 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124658 -  ..
124659 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124660 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124661 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124662 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124663 - level 0 entire 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124665 -  ..
124666 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124667 - ref SDS 22 HG3F  Hiked 2 extra 1-mile loops at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124668 - energy good.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124669 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124670 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124671 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124672 - against Eastbound traffic flow.  Time mile 4.25 67 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124673 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124674 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124675 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124676 - pace on flat ground.  Going down steep hill toward Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124677 - maintained pace to Pine Hollow.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124678 - increased pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124679 - back to Crystal Ranch Road about 1 mile.  Felt okay, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124680 - onto Crystal Ranch Road and hiked another 4-mile loop.  After reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124681 - summit on Crystal Ranch Road and hiking about .25 miles noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124682 - significant pain neck right side spinal column 6" when lifting right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124683 - arm or turning head to right.  This occurred after driving accident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124684 - last year on 170905, and more recently after doing sets of 30 pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124685 - Paused pushups a month ago on 181013, per above. ref SDS 0 VWQY  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124686 - 181102, resumed pushups but only 20, ref SDS 0 QVSR, and have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124687 - okay.  Problem today, may be related to wearing heavy Marine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124688 - sweatshirt with 2 under lighter sweatshirts due to cold temperatures.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124689 - Weight of this apparel on the shoulder increases from perspiring after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124690 - hiking 12 miles or so.  This increased weight on the shoulder while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124691 - swinging arms may be cause of recurrent pain today.  Will pause again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124692 - tomorrow morning for a few days.  After 2nd loop, feet and knees felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124693 - good today, so turned corner again at Crystal Ranch Road and hiked a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124694 - 3rd 4-mile loop.  About halfway going down Rolling Woods Way toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124695 - Pine Hollow, saw the white jeep SUV and recognized thw woman waving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124696 - again, so waved back.  After 3dd loop on Ygnacio Vallery Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124697 - corner of Crystal Ranch Road, not feeling fatigue in the legs, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124698 - considered doing 4th loop to increase HDL for lab after the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124699 - Instead continued uphill to Cowell.  Turned corner and hiked 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124700 - Treat.  Hiked 2 extra 1-mile loops to end hike at 21 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124702 -  ..
124703 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124704 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124705 - Dinner - lettuce tomato avocado cumcumber mushrooms toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124707 -  ..
124708 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124713 -         ..
124714 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124715 -  319.  181113 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124716 -               0950....BP HR..................................................... 141  72  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124717 -               0955....BP HR..................................................... 144  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124718 -               1000....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124719 -               1000... 20 17360 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124720 -               1000... 80 99400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124721 -               1000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124722 -               0000... Naproxen (Aleve) 1 pill 250  68200 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124723 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124724 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124725 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124726 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124727 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124728 -               1600... 40 38420 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124729 -               1730............ 10 10990  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124730 -               1730............ 10 10580  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124731 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124732 -               1750... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124733 -               1930... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124734 -               2020... 1000  297000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124735 -               2220... 80 99480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124737 -  ..
124738 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124739 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124740 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124741 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124742 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124743 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124744 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124745 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124746 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124747 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124749 -  ..
124750 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124752 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124753 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124754 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124755 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124756 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124758 -  ..
124759 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124760 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124761 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124762 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124763 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124765 -  ..
124766 - Blood pressure poor and heart rate very good today, but significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124767 - improved after pausing Naproxen yesterday, and taking 1000 mg calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124768 - carbonate (Tums) and taking 40 units Mylanta gastrointestinal drugs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124769 - last night, and after hiking 21 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124770 - ref SDS 0 4U4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124772 -  ..
124773 - Paused Naproxen again today, since high blood pressure is listed as a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124774 - side effect.  As noted above, blood pressure dropped significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124775 - this morning, after pausing Naproxen yesterday on 181112.  Pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124776 - Pantoprazole on 181110, per above, ref SDS 0 XT6N, did not seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124777 - lower blood pressure the following morning on 181111. ref SDS 0 ZR4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124778 - Pausing Mylanta also dropped blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124780 -  ..
124781 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124782 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124783 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124784 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124786 -  ..
124787 - Weight - 173 this morning after hiking 21 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124788 - yesterday on 181110, per above. ref SDS 0 SSXP  After hiking 21 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124789 - weight 168, lost 5 pounds. ref SDS 0 4U4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124791 -  ..
124792 - Hikding - none, heal feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124794 -  ..
124795 - Breakfast - cheerios chia seeds milk required with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124796 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124797 - Dinner - lettuce tomato avocado cumcumber mushrooms, eggs avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124799 -  ..
124800 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124804 -         ..
124805 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124806 -  320.  181114 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124807 -               0810....BP HR..................................................... 148  75  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124808 -               0815....BP HR..................................................... 145  71  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124809 -               0820....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124810 -               0820... 20 17380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124811 -               0820... 80 99560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124812 -               0820....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124813 -               0000... Naproxen (Aleve) 1 pill 250  68200 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124814 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124815 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124816 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124817 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124818 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124819 -          * cr 1155....miles...........  15.0  36.00  238  566 minutes temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124820 -               1630....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124821 -               1635....BP HR..................................................... 102  70  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124822 -               1640....BP HR..................................................... 112  71  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124823 -               1700... 40 38460 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124824 -             1 0000............ 10 10990  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124825 -             1 0000............ 10 10580  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124826 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124827 -               1850... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124828 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124829 -               2020... 1000  298000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124830 -               2220... 80 99640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124832 -  ..
124833 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124834 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124835 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124837 -  ..
124838 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124839 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124840 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124841 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124842 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124843 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124844 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124845 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124846 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124847 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124849 -  ..
124850 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124852 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124853 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124854 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124855 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124856 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124858 -  ..
124859 - Orthopedic treatment Supartz injections knees approved today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124860 - 181025, reported in another record. ref SDS B3 ZY5G  This will defer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124861 - another PRP treatment hopefully until January or February, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124862 - eliminate having to take acetaminophen, which lowers HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124863 - Naproxen, which raises LDL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124865 -  ..
124866 - Blood pressure poor and heart rate very good today, but improved after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124867 - pausing Naproxen yesterday, and taking 1000 mg calcium carbonate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124868 - (Tums) and taking 40 units Mylanta gastrointestinal drugs last night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124869 - and after hiking 0 miles yesterday. per above. ref SDS 0 M18J  BP and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124870 - heart rate good after hiking 15 miles today, and much better than past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124871 - few days, after pausing Naproxen 2 days ago. ref SDS 0 Z57L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124873 -  ..
124874 - Paused Naproxen again today, since high blood pressure is listed as a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124875 - side effect.  As noted above, blood pressure dropped significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124876 - this morning, after pausing Naproxen yesterday on 181112.  Pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124877 - Pantoprazole on 181110, per above, ref SDS 0 XT6N, did not seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124878 - lower blood pressure the following morning on 181111. ref SDS 0 ZR4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124879 - Pausing Mylanta also dropped blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124881 -  ..
124882 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124883 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124884 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124885 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124887 -  ..
124888 - Weight - 174 this morning after hiking 0 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124889 - yesterday on 181112, per above. ref SDS 0 TRQW  After hiking 15 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124890 - weight 168, lost 6 pounds. ref SDS 0 Z57L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124892 -  ..
124893 - Pain medication - Paused Naproxen 250 mg today hiking 21 miles without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124894 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124895 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124896 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124897 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124898 - injections for a month or so, but benefits of PRP seem to be wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124899 - off.  Reduces risk of daily acetaminophen 1000 mg causing intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124900 - that lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124901 - and so reduces risk getting stuck above LESV and causing ulceration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124902 - Naproxen seems to increase blood pressure, see above. ref SDS 0 XT6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124903 - Seemed like Naproxen pill (NSAID which conflicts with PRP line of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124904 - care) got stuck on 180702, reported on 180703, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124905 - SQTY  Hydrocodone does not raise blood pressure nor lower HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124906 - received on 180730 1726. ref SDS A3 0O9K  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124907 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124908 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124909 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124910 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124911 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124912 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124913 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124914 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124915 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124916 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124918 -                                                    Pain Level   Day
124919 -         ..
124920 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124921 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124922 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124923 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124924 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124925 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124926 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124927 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124928 -        Tailor's Bunion left foot....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124929 -        Tailor's Bunion right foot...................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124930 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124931 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124932 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124933 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124934 -        Callus big toe left foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124935 -        Callus big toe right foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124936 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124937 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124938 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124939 -        Peripheral neruopathy right foot.............   0          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124941 -  ..
124942 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124943 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124944 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124945 - after hiking about 1.5 miles near McDonald's on Clayton Road, evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124946 - mild peripheral neuropathy for about .25 miles in right foot after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124947 - taking statins last night on 181113, per above. ref SDS 0 M18J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124949 -  ..
124950 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124951 - nutrients depleted, but did not take Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124953 -  ..
124954 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124955 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124957 -  ..
124958 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124959 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124960 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124962 -  ..
124963 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124964 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124965 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124966 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124968 -  ..
124969 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124970 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124972 -  ..
124973 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124974 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124976 -  ..
124977 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124978 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124979 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124980 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124981 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124983 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124984 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124985 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124986 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124987 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124988 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124989 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124990 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124991 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124992 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124993 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124994 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124995 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124996 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124997 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124998 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124999 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125000 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125001 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125002 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125003 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125004 -        again today.................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125006 -  ..
125007 - Today, calluses edge both big toes pain level 2 last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125009 -  ..
125010 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125011 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125012 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125013 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125014 - skin. ref SDS 0 QRWV  During hike blister pain level 2 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125015 - below big toe, last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125017 -  ..
125018 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125019 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125021 -  ..
125022 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125023 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125025 -  ..
125026 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125027 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125028 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125030 -  ..
125031 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125032 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125033 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125034 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125035 - level 3 last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125037 -  ..
125038 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125039 - ref SDS 22 HG3F  Did not hiked extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125040 - energy good.  Time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125041 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125042 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125043 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125044 - against Eastbound traffic flow.  Time mile 4.25 65 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125045 - Continuing on Ygnacio Valley Road going West against no wind.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125046 - 5 pain level 0, so turned corner and hiked 4-mile loop on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125047 - Ranch Road.  Good pace going 1 mile uphill.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125048 - pace on flat ground.  Going down steep hill toward Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125049 - Turned corner and increased pace hiking .3 miles up steeper hill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125050 - Rolling Woods Way.  At summit slowed pace going downhill to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125051 - Hollow.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125052 - mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125053 - Road about 1 mile.  Felt okay, so turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125054 - Road and hiked another (2nd) 4-mile loop.  After reaching summit on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125055 - Crystal Ranch Road and hiking about .25 miles had less severe pain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125056 - neck right side spinal column 6" when lifting right arm or turning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125057 - head to right.  Less pain aligns with pausing pushups yesterday and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125058 - today, and not wearing heavy sweatshirt with 2 lighter sweatshirts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125059 - reported on 181112, per above. ref SDS 0 SXYV  After turning onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125060 - Rolling Woods Way and reaching summit, a motorist slowed his vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125061 - and rolled down window driving at my pace.  The man mentioned seeing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125062 - me hiking all over town the past months, and asked how far I hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125063 - Explained going for 15 today, did 21 a few days ago, and sometimes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125064 - only do 11 miles.  The man asked about effect on feet from repetitive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125065 - stress doing this mileage?  Explained severe metatarsalgia injuries to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125066 - both feet, reduced hiking the past few years; but, PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125067 - treatments have cured this problem enabling hiking much more this year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125068 - than in any prior year.  Already at 3,000 miles for the year.  Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125069 - "Bondi 5" shoes combined with custom designed inserts, help prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125070 - recurrence of metatarsalgia.  Other minor injuries from blisters and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125071 - calluses have to be treated daily with Ammonium Lactate 12% lotion,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125072 - and sometimes wrapped with lamb's whool and tape.  Smartwool socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125073 - greatly moderate these minor feet injuries.  Still sometimes feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125074 - hiking at this level requires an "Environmental Impact Study" on my                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125075 - feet.  The man laughed, commended the effort and drove off.  After 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125076 - loop, feet were beginning to feel effects of blistering.  On Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125077 - Vallery Road at corner of Crystal Ranch Road, not feeling fatigue in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125078 - the legs.  Felt could have done 3rd lap, but instead continued uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125079 - to Cowell.  Turned corner and hiked 1 mile to Treat.  Sprinted last 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125080 - yards to make the street light.  Paid price with feet pain, but feels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125081 - good to run.  After turning corner going West toward Cuneo, a woman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125082 - waiting for left turn signal going East on Treat rolled the window                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125083 - down and yelled out "Hey, I see you hiking all the time." It's very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125084 - inspirational.  Please keep it up!"  Just smiled, waved and kept                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125085 - hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125087 -  ..
125088 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125089 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125090 - Dinner - lettuce tomato avocado cumcumber mushrooms,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125092 -  ..
125093 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125097 -         ..
125098 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125099 -  321.  181115 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125100 -               0840....BP HR..................................................... 138  71  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125101 -               0845....BP HR..................................................... 136  68  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125102 -               0850....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125103 -               0850... 20 17380 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125104 -               0850... 80 99560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125105 -               0850....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125106 -               0000... Naproxen (Aleve) 1 pill 250  68200 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125107 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125108 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125109 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125110 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125111 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125112 -               1710... 40 38460 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125113 -               1820............ 10 11000  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125114 -               1820............ 10 10590  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125115 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125116 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125117 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125118 -               2040... 1000  298000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125119 -               2310... 80 99640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125121 -  ..
125122 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125123 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125124 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125126 -  ..
125127 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125128 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125129 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125130 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125131 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125132 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125133 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125134 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125135 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125136 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125138 -  ..
125139 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125141 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125142 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125143 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125144 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125145 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125147 -  ..
125148 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125149 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125150 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125151 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125152 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125154 -  ..
125155 - Blood pressure poor and heart rate very good today, but improved after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125156 - pausing Naproxen yesterday, and taking 1000 mg calcium carbonate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125157 - (Tums) and not taking 40 units Mylanta gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125158 - night, and after hiking 15 miles yesterday. per above. ref SDS 0 Z57L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125159 - BP and heart rate good after hiking 15 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125161 -  ..
125162 - Paused Naproxen again today, since high blood pressure is listed as a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125163 - side effect.  As noted above, blood pressure dropped significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125164 - this morning, after pausing Naproxen yesterday on 181112.  Pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125165 - Pantoprazole on 181110, per above, ref SDS 0 XT6N, did not seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125166 - lower blood pressure the following morning on 181111. ref SDS 0 ZR4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125167 - Pausing Mylanta also dropped blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125169 -  ..
125170 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125171 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125172 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125173 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125175 -  ..
125176 - Weight - 173 this morning after hiking 15 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125177 - yesterday on 181114, per above. ref SDS 0 TSQT  After hiking 15 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125178 - weight 168, lost 6 pounds. ref SDS 0 Z57L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125180 -  ..
125181 - Hiking - none, conflict with telomere test, reported in another record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125182 - today on 181115 1037. ref SDS B7 3H3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125184 -  ..
125185 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125186 - Lunch - sandwich balogny tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125187 - Dinner - eggs hamburger asparagus avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125189 -  ..
125190 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125195 -         ..
125196 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125197 -  322.  181116 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125198 -               0950....BP HR..................................................... 139  77  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125199 -               0955....BP HR..................................................... 134  76  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125200 -               1000....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125201 -               1000... 20 17400 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125202 -               1000... 80 99720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125203 -               1000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125204 -               0000... Naproxen (Aleve) 1 pill 250  68200 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125205 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125206 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125207 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125208 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125209 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125210 -          * cr 1145....miles...........  11.0  47.00  168  734 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125211 -               1455....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125212 -               1505....BP HR..................................................... 103  73  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125213 -               1510....BP HR..................................................... 103  64  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125214 -               1640... 40 38500 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125215 -             1 0000............ 10 11000  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125216 -             1 0000............ 10 10590  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125217 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125218 -               1820... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125219 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125220 -               2040... 1000  299000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125221 -               2210... 80 99800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125223 -  ..
125224 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125225 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125226 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125228 -  ..
125229 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125230 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125231 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125232 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125233 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125234 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125235 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125236 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125237 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125238 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125240 -  ..
125241 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125243 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125244 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125245 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125246 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125247 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125249 -  ..
125250 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125251 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125252 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125253 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125254 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125256 -  ..
125257 - Blood pressure poor and heart rate okay today, but improved after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125258 - pausing Naproxen yesterday, and taking 1000 mg calcium carbonate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125259 - (Tums) and not taking 40 units Mylanta gastrointestinal drugs last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125260 - night, and after hiking 0 miles yesterday. per above. ref SDS 0 RH6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125261 - BP and heart rate good after hiking 11 miles today, and mucn lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125262 - after hikes than over past week, reflecting pausing Mylanta and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125263 - Neproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125265 -  ..
125266 - Paused Naproxen again today, since high blood pressure is listed as a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125267 - side effect.  As noted above, blood pressure dropped significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125268 - this morning, after pausing Naproxen yesterday on 181112.  Pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125269 - Pantoprazole on 181110, per above, ref SDS 0 XT6N, did not seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125270 - lower blood pressure the following morning on 181111. ref SDS 0 ZR4J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125271 - Pausing Mylanta also dropped blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125273 -  ..
125274 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125275 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125276 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125277 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125279 -  ..
125280 - Weight - 172 this morning after hiking 0 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125281 - yesterday on 181115, per above. ref SDS 0 TVQW  Losing 1 pound, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125282 - normally weight would rise 2 - 3 pounds, may align with frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125283 - urination past few days.  After hiking 11 miles, weight 169, lost 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125284 - pounds. ref SDS 0 226N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125286 -  ..
125287 - Pain medication - Paused Naproxen 250 mg today hiking 21 miles without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125288 - medication suppressing pain - however, Naproxen will increase LDL in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125289 - lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125290 - 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125291 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125292 - injections for a month or so, but benefits of PRP seem to be wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125293 - off.  Reduces risk of daily acetaminophen 1000 mg causing intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125294 - that lowers HDL for lab today.  Naproxex 1 pill 250 mg seems smaller                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125295 - and so reduces risk getting stuck above LESV and causing ulceration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125296 - Naproxen seems to increase blood pressure, see above. ref SDS 0 XT6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125297 - Seemed like Naproxen pill (NSAID which conflicts with PRP line of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125298 - care) got stuck on 180702, reported on 180703, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125299 - SQTY  Hydrocodone does not raise blood pressure nor lower HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125300 - received on 180730 1726. ref SDS A3 0O9K  Normally take 2 Naproxen or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125301 - Hydrodocone pills, but this increases chances of pills getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125302 - above LESV causing ulceration.  So, have switched to just 1 pill per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125303 - day.  If not adequate pain relief, can carry 2nd pill and take it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125304 - after 2 hours about half way through hike at mile 7 or so.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125305 - should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125306 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125307 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125308 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125309 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125310 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125312 -                                                    Pain Level   Day
125313 -         ..
125314 -        Neck right side spinal column 6".............   7          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125315 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125316 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125317 -        Knee left......glucosamine chondroitin.......   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125318 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125319 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125320 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125321 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125322 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125323 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125324 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125325 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125326 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125327 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125328 -        Callus big toe left foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125329 -        Callus big toe right foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125330 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125331 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125332 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125333 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125335 -  ..
125336 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125337 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125338 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125339 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125340 - last night on 181115, per above. ref SDS 0 RH6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125342 -  ..
125343 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125344 - nutrients depleted, but did not take Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125346 -  ..
125347 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125348 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125350 -  ..
125351 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125352 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125353 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125355 -  ..
125356 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125357 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125358 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125359 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125361 -  ..
125362 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125363 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125365 -  ..
125366 - Left foot metatarsalgia - pain level 0 entire hike.  Left foot was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125367 - treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125369 -  ..
125370 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125371 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125372 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125373 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125374 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125376 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125377 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125378 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125379 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125380 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125381 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125382 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125383 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125384 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125385 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125386 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125387 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125388 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125389 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125390 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125391 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125392 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125393 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125394 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125395 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125396 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125397 -        again today.................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125399 -  ..
125400 - Today, calluses edge both big toes pain level 2 last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125402 -  ..
125403 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125404 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125405 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125406 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125407 - skin. ref SDS 0 QRWV  During hike blister pain level 2 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125408 - below big toe, last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125410 -  ..
125411 - Left knee - pain level 2 for about 10% of route, not bad considering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125412 - not taking Neproxen today; reflects treatment with PRP on 180824 1515.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125413 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125415 -  ..
125416 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125417 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125419 -  ..
125420 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125421 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125422 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125424 -  ..
125425 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125426 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125427 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125428 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125429 - level 3 last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125431 -  ..
125432 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125433 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125434 - energy good.  Visibility poor due to "air quality alert" from "Camp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125435 - Fire" that destroyed town of Paradise on highway 99 North of Chico;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125436 - cannot see Mount Diablo nor local mountains.  No smell of smoke.  Many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125437 - people wearing protective breathing masks/filters.  Time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125438 - 17 minutes.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125439 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125440 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125441 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125442 - 4.25 64 minutes.  Continuing on Ygnacio Valley Road going West against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125443 - no wind.  At mile 5 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125444 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125445 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125446 - Rolling Woods Way.  Turned corner and increased pace hiking .3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125447 - up steeper hill on Rolling Woods Way.  At summit after .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125448 - turned to see something to the left.  This caused severe pain level 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125449 - in neck and back for a few seconds, then it subsided.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125450 - going downhill to Pine Hollow.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125451 - increased pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125452 - back to Crystal Ranch Road about 1 mile.  After 1st loop, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125453 - beginning to feel effects of blistering.  On Ygnacio Vallery Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125454 - corner of Crystal Ranch Road, not feeling fatigue in the legs.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125455 - could have done 2nd lap, but instead continued uphill to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125456 - Turned corner and hiked 1 mile to Treat.  Hiked last .5 mile home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125457 - 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125459 -  ..
125460 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125461 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125462 - Dinner - hot dog tomato onion asparagus mushrooms avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125464 -  ..
125465 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125470 -         ..
125471 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125472 -  323.  181117 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125473 -               0800....BP HR..................................................... 153  72  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125474 -               0805....BP HR..................................................... 135  71  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125475 -               0810....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125476 -               0810... 20 17420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125477 -               0810... 80 99880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125478 -               0810....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125479 -               0810... Naproxen (Aleve) 1 pill 250  68450 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125480 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125481 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125482 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125483 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125484 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125485 -          * cr 1025....miles...........  21.0  68.00  330 1064 minutes temp  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125486 -               1600....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125487 -               1605....BP HR..................................................... 108  73  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125488 -               1610....BP HR..................................................... 110  69  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125489 -               1610... 40 38540 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125490 -               1820............ 10 11010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125491 -               1820............ 10 10600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125492 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125493 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125494 -               1950... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125495 -               2020... 1000  300000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125496 -               2110... 80 99960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125498 -  ..
125499 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125500 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125501 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125503 -  ..
125504 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125505 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125506 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125507 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125508 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125509 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125510 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125511 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125512 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125513 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125515 -  ..
125516 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125518 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125519 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125520 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125521 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125522 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125524 -  ..
125525 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125526 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125527 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125528 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125529 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125531 -  ..
125532 - Blood pressure poor and heart rate okay today, but improved after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125533 - pausing Naproxen on 181112, ref SDS 0 4U4F, and taking 1000 mg calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125534 - carbonate (Tums) and not taking 40 units Mylanta gastrointestinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125535 - drugs last night, and after hiking 11 miles yesterday. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125536 - ref SDS 0 226N  BP and heart rate good after hiking 21 miles today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125537 - and mucn lower after hikes than over past week, reflecting pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125538 - Mylanta, but taking Neproxen today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125540 -  ..
125541 - Naproxen resumed, because going for 20+ miles today; however, high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125542 - blood pressure is listed as a side effect.  As noted above, blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125543 - pressure dropped significantly this morning, after pausing Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125544 - yesterday on 181112.  Pausing Pantoprazole on 181110, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125545 - ref SDS 0 XT6N, did not seem to lower blood pressure the following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125546 - morning on 181111. ref SDS 0 ZR4J  Pausing Mylanta also dropped blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125547 - pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125549 -  ..
125550 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125551 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125552 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125553 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125555 -  ..
125556 - Weight - 173 this morning after hiking 11 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125557 - yesterday on 181116, per above. ref SDS 0 TYRS  Losing 1 pound, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125558 - normally weight would rise 2 - 3 pounds, may align with frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125559 - urination past few days.  After hiking 11 miles, weight 168, lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125560 - pounds. ref SDS 0 4Z5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125562 -  ..
125563 - Pain medication - Resumed Naproxen 250 mg today hiking 21 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125564 - medication suppressing pain - however, Naproxen will increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125565 - pressure and increase LDL in lab, as occurred on 181021 1541.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125566 - ref SDS B2 KU6L  PRP treatment on 180824 1515, ref SDS A8 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125567 - reduced need for pain medication.  NSAID's like naproxen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125568 - suppress performance of PRP injections for a month or so, but benefits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125569 - of PRP seem to be wearing off.  Reduces risk of daily acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125570 - 1000 mg causing intoxication that lowers HDL for lab today.  Naproxex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125571 - 1 pill 250 mg seems smaller and so reduces risk getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125572 - LESV and causing ulceration.  Naproxen seems to increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125573 - pressure, see above. ref SDS 0 XT6N  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125574 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125575 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125576 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125577 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125578 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125579 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125580 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125581 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125582 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125583 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125584 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125585 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125586 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125588 -                                                    Pain Level   Day
125589 -         ..
125590 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125591 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125592 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125593 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125594 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125595 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125596 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125597 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125598 -        Tailor's Bunion left foot....................   4         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125599 -        Tailor's Bunion right foot...................   4         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125600 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125601 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125602 -        Metatarsalgia left foot......................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125603 -        Metatarsalgia right foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125604 -        Callus big toe left foot.....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125605 -        Callus big toe right foot....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125606 -        Blister below big toe left foot..............   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125607 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125608 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125609 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125611 -  ..
125612 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125613 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125614 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125615 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125616 - statins last night on 181115, per above. ref SDS 0 RH6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125618 -  ..
125619 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125620 - nutrients depleted, but did not take Tramadol 50 mg in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125622 -  ..
125623 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125624 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125626 -  ..
125627 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125628 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125629 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125631 -  ..
125632 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125633 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125634 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125635 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125637 -  ..
125638 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125639 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125641 -  ..
125642 - Left foot metatarsalgia - pain level 2 last 3 miles.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125643 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125645 -  ..
125646 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125647 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125648 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125649 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125650 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125652 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125653 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125654 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125655 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125656 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125657 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125658 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125659 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125660 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125661 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125662 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125663 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125664 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125665 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125666 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125667 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125668 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125669 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125670 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125671 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125672 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125673 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125674 -        again today.................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125676 -  ..
125677 - Today, calluses edge both big toes pain level 3 last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125679 -  ..
125680 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125681 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125682 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125683 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125684 - skin. ref SDS 0 QRWV  During hike blister pain level 2 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125685 - below big toe, last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125687 -  ..
125688 - Left knee - pain level 2 for about 10% of route, not bad considering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125689 - not taking Neproxen today; reflects treatment with PRP on 180824 1515.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125690 - ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125692 -  ..
125693 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125694 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125696 -  ..
125697 - Hip left, pain level 0 entire hike - No left hip pain that occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125698 - previuosly on 181015, per above. ref SDS 0 WSRW  First reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125699 - 180929. ref SDS 0 SYPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125701 -  ..
125702 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125703 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125704 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125705 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125706 - level 3 last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125708 -  ..
125709 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125710 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125711 - energy good.  Visibility poor due to "air quality alert" from "Camp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125712 - Fire" that destroyed town of Paradise on highway 99 North of Chico;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125713 - cannot see Mount Diablo nor local mountains.  No smell of smoke.  Many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125714 - people wearing protective breathing masks/filters.  Time to 1.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125715 - 18 minutes.  Maintained pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125716 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125717 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125718 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125719 - 4.25 66 minutes.  Continuing on Ygnacio Valley Road going West against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125720 - no wind.  At mile 5 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125721 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125722 - summit maintained pace on flat ground.  Going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125723 - Rolling Woods Way.  Turned corner and increased pace hiking .3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125724 - up steeper hill on Rolling Woods Way.  Slowed pace going downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125725 - Pine Hollow.  Turned corner onto Pine Hollow and increased pace hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125726 - 1 mile back to Ygnacio Valley Road.  Hiked West back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125727 - Road about 1 mile.  After 1st loop, feet feeling okay, so turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125728 - corner and hiked 2nd 4-mile loop.  Then hiked 3rd Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125729 - 4-mile loop.  On Ygnacio Vallery Road at corner of Crystal Ranch Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125730 - not feeling fatigue in the legs, so turned corner and started 4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125731 - 4-mile loop.  After about 200 yards, feeling pressure on blisters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125732 - going uphill, so turned around and hiked back to Ygnacio Valley Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125733 - turned corner and hiked up shallower hill to Cowell.  Pain from feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125734 - blisters reduced, so continued uphill to summit and hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125735 - downhill.  About halfway to Oak Grove called Kathy and asked her to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125736 - come give me a ride home, because feet blisters were getting worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125737 - After another half-mile, called Kathy again, and said feet pain has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125738 - subsided a little so meet at corner of Treat and Oak Grove, instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125739 - meeting on Ygnacio Valley Road.  Hiked to Oak Grove, turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125740 - hiked another mile to Treat at fast pace, as endorphins blocked some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125741 - of the pain from blisters.  Kathy drove us home for 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125743 -  ..
125744 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125745 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125746 - Dinner - lettuce onion avocado tomato salmon cumcumber celery mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125747 - fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125749 -  ..
125750 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125754 -         ..
125755 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125756 -  324.  181118 0630..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125757 -               0740....BP HR..................................................... 135  66  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125758 -               0745....BP HR..................................................... 122  64  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125759 -               0750....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125760 -               0000... 20 17420 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125761 -               0750... 80 100140 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125762 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125763 -               0000... Naproxen (Aleve) 1 pill 250  68450 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125764 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125765 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125766 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125767 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125768 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125769 -               1610... 40 38540 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125770 -             1 0000............ 10 11010  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125771 -             1 0000............ 10 10600  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125772 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125773 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125774 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125775 -               2020... 1000  301000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125776 -               0000... 80 100140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125778 -  ..
125779 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125780 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125781 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125783 -  ..
125784 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125785 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125786 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125787 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125788 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125789 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125790 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125791 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125792 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125793 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125795 -  ..
125796 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125798 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125799 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125800 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125801 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125802 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125804 -  ..
125805 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125806 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125807 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125808 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125809 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125811 -  ..
125812 - Blood pressure good and heart rate very good today, significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125813 - improved after pausing Naproxen on 181112, ref SDS 0 4U4F, and taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125814 - 1000 mg calcium carbonate (Tums) and not taking 40 units Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125815 - gastrointestinal drugs last night, and after hiking 21 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125816 - yesterday. per above. ref SDS 0 4Z5J  Blood pressure mucn lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125817 - reflecting pausing Mylanta, but taking Neproxen yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125819 -  ..
125820 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125821 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125822 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125823 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125825 -  ..
125826 - Weight - 173 this morning after hiking 11 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125827 - yesterday on 181116, per above. ref SDS 0 TYRS  Losing 1 pound, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125828 - normally weight would rise 2 - 3 pounds, may align with frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125829 - urination past few days.  After hiking 11 miles, weight 168, lost 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125830 - pounds. ref SDS 0 4Z5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125832 -  ..
125833 - Hiking - none, visit Bob, Robin and Vincent in Nipomo for his 91st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125834 - birthday.  This will allow blister on left foot to heal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125836 -  ..
125837 - Breakfast - eggs bacon toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125838 - Lunch - half hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125839 - Dinner - roast beef banana few bites McDonald's tuna sandwich fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125841 -  ..
125842 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125847 -         ..
125848 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125849 -  325.  181119 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125850 -               1000....BP HR..................................................... 132  69  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125851 -               1005....BP HR..................................................... 123  70  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125852 -               1010....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125853 -               1010... 20 17440 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125854 -               1010... 80 100380 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125855 -               1010....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125856 -               0000... Naproxen (Aleve) 1 pill 250  68450 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125857 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125858 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125859 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125860 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125861 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125862 -          * cr 1140....miles...........  16.0  16.00  243  243 minutes temp  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125863 -               1610....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125864 -               1615....BP HR..................................................... 104  63  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125865 -               1620....BP HR..................................................... 110  65  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125866 -               1720... 40 38580 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125867 -               1830............ 10 11020  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125868 -               1830............ 10 10610  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125869 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125870 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125871 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125872 -               2020... 1000  302000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125873 -               2150... 80 100460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125875 -  ..
125876 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125877 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125878 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125880 -  ..
125881 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125882 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125883 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125884 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125885 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125886 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125887 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125888 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125889 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125890 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125892 -  ..
125893 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125895 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125896 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125897 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125898 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125899 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125901 -  ..
125902 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125903 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125904 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125905 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125906 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125908 -  ..
125909 - Blood pressure okay and heart rate good today, after pausing Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125910 - yesterday on 181118, ref SDS 0 3J3N, and taking 1000 mg calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125911 - carbonate (Tums) and not taking 40 units Mylanta gastrointestinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125912 - drugs last night, per above. ref SDS 0 3J3N  BP and heart rate good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125913 - after hiking 16 miles today, and mucn lower after hikes over past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125914 - week, reflecting pausing Mylanta and Neproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125916 -  ..
125917 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125918 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125919 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125920 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125922 -  ..
125923 - Weight - 173 this morning after hiking 0 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125924 - yesterday on 181118, per above. ref SDS 0 URWW  Losing 1 pound, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125925 - normally weight would rise 2 - 3 pounds from not hiking yesterday, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125926 - align with frequent urination past few days.  After hiking 16 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125927 - weight 169, lost 4 pounds. ref SDS 0 UQQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125929 -  ..
125930 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125931 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125932 - normal.  Last night got up about 5 time, so weight is down this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125933 - morning from dehydration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125935 -  ..
125936 - Pain medication - Resumed Naproxen 250 mg today hiking 21 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125937 - medication suppressing pain - however, Naproxen will increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125938 - pressure and increase LDL in lab, as occurred on 181021 1541.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125939 - ref SDS B2 KU6L  PRP treatment on 180824 1515, ref SDS A8 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125940 - reduced need for pain medication.  NSAID's like naproxen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125941 - suppress performance of PRP injections for a month or so, but benefits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125942 - of PRP seem to be wearing off.  Reduces risk of daily acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125943 - 1000 mg causing intoxication that lowers HDL for lab today.  Naproxex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125944 - 1 pill 250 mg seems smaller and so reduces risk getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125945 - LESV and causing ulceration.  Naproxen seems to increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125946 - pressure, see above. ref SDS 0 XT6N  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125947 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125948 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125949 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125950 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125951 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125952 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125953 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125954 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125955 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125956 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125957 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125958 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125959 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125960 -                                                    Pain Level   Day
125961 -         ..
125962 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125963 -        Hip left.....................................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125964 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125965 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125966 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125967 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125968 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125969 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125970 -        Tailor's Bunion left foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125971 -        Tailor's Bunion right foot...................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125972 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125973 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125974 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125975 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125976 -        Callus big toe left foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125977 -        Callus big toe right foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125978 -        Blister below big toe left foot..............   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125979 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125980 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125981 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125983 -  ..
125984 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125985 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125986 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125987 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125988 - statins last night on 181118, per above. ref SDS 0 3J3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125990 -  ..
125991 - Legs and arms 5 hours after hike feel anxious like oxygen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125992 - nutrients depleted, so took 2 pills in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125994 -  ..
125995 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125996 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125998 -  ..
125999 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126000 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126001 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126003 -  ..
126004 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126005 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126006 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126007 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126009 -  ..
126010 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126011 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126013 -  ..
126014 - Left foot metatarsalgia - pain level 2 last 3 miles.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126015 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126017 -  ..
126018 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126019 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126020 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126021 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126022 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126024 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126025 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126026 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126027 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126028 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126029 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126030 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126031 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126032 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126033 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126034 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126035 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126036 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126037 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126038 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126039 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126040 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126041 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126042 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126043 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126044 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126045 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126046 -        again today.................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126048 -  ..
126049 - Today, calluses edge both big toes pain level 2 last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126051 -  ..
126052 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126053 - ref SDS 0 PE6F  Did not feel this today entire hike.  Relied on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126054 - smartwool socks, and Ammonium Lacatate 12% lotion applied today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126055 - Today, on 181102 blister appears nearly healed, i.e., near normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126056 - skin. ref SDS 0 QRWV  During hike blister pain level 2 on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126057 - below big toe, last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126059 -  ..
126060 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126061 - 180824 1515. ref SDS A8 0001  Knee noticably swelled after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126063 -  ..
126064 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126065 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126067 -  ..
126068 - Hip left, pain level 2 for .25 miles on Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126070 -  ..
126071 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126072 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126073 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126074 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126075 - level 3 last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126077 -  ..
126078 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126079 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126080 - good.  Visibility better today, but poor due to "air quality alert"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126081 - from "Camp Fire" that destroyed town of Paradise on highway 99 North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126082 - of Chico; can barely see Mount Diablo and local mountains.  No smell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126083 - of smoke.  Many people wearing protective breathing masks/filters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126084 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126085 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126086 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126087 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126088 - traffic flow.  Time mile 4.25 66 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126089 - Valley Road going West against no wind.  At mile 5 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126090 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126091 - going 1 mile uphill.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126092 - Going down steep hill toward Rolling Woods Way.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126093 - increased pace hiking .3 miles up steeper hill on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126094 - Slowed pace going downhill to Pine Hollow.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126095 - Hollow and increased pace hiking 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126096 - Hiked West back to Crystal Ranch Road about 1 mile.  After 1st loop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126097 - feet hurting, so did not turn corner and another 4-mile loop.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126098 - up shallower hill to Cowell.  Feet hurting less, so continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126099 - Ygnacio Valley Road uphill to summit and continue for 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126100 - downhill.  Turned corner onto Oak Grove and hiked 1 mile to Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126101 - Turned corner and hiked 1 mile on flat ground, then hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126102 - uphill to Cuneo.  Hiked extra mile around the block to Kaski, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126103 - Cowell, then Treat again, and finally Cuneo and into the complex to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126104 - end the hike - 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126106 -  ..
126107 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126108 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126109 - Dinner - roast beef potato carrots squash apple pie ice cream                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126111 -  ..
126112 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126117 -         ..
126118 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126119 -  326.  181120 0830..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126120 -               0910....BP HR..................................................... 123  75  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126121 -               0915....BP HR..................................................... 124  69  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126122 -               0920....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126123 -               0920... 20 17460 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126124 -               0920... 80 100540 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126125 -               0920....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126126 -               0000... Naproxen (Aleve) 1 pill 250  68450 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126127 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126128 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126129 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126130 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126131 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126132 -          * cr 1330....miles...........  11.0  11.00  171  414 minutes temp  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126133 -               1650....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126134 -               1655....BP HR..................................................... 110  68  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126135 -               1700....BP HR..................................................... 109  62  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126136 -               1720... 40 38620 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126137 -             1 0000............ 10 11020  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126138 -             1 0000............ 10 10610  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126139 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126140 -               1830... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126141 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126142 -               2020... 1000  302000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126143 -               2150... 80 100460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126145 -  ..
126146 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126147 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126148 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126150 -  ..
126151 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126152 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126153 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126154 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126155 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126156 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126157 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126158 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126159 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126160 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126162 -  ..
126163 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126165 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126166 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126167 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126168 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126169 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126171 -  ..
126172 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126173 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126174 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126175 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126176 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126178 -  ..
126179 - Blood pressure okay and heart rate good today, after pausing Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126180 - yesterday on 181118, ref SDS 0 3J3N, and taking 1000 mg calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126181 - carbonate (Tums) and not taking 40 units Mylanta gastrointestinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126182 - drugs last night, per above. ref SDS 0 3J3N  BP and heart rate okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126183 - after hiking 11 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126185 -  ..
126186 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126187 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126188 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126189 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126191 -  ..
126192 - Weight - 172 this morning after hiking 16 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126193 - yesterday on 181119, per above. ref SDS 0 URPS  After hiking 11 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126194 - weight 169, lost 3 pounds. ref SDS 0 UQQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126196 -  ..
126197 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126198 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126199 - normal.  Last night got up only 1 time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126201 -  ..
126202 - Pain medication - Pause Naproxen 250 mg today, because Naproxen will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126203 - increase blood pressure and increase LDL in lab, as occurred on 181021                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126204 - 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515, ref SDS A8 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126205 - reduced need for pain medication.  NSAID's like naproxen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126206 - suppress performance of PRP injections for a month or so, but benefits                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126207 - of PRP seem to be wearing off.  Reduces risk of daily acetaminophen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126208 - 1000 mg causing intoxication that lowers HDL for lab today.  Naproxex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126209 - 1 pill 250 mg seems smaller and so reduces risk getting stuck above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126210 - LESV and causing ulceration.  Naproxen seems to increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126211 - pressure, see above. ref SDS 0 XT6N  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126212 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126213 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126214 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126215 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126216 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126217 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126218 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126219 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126220 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126221 - on 160101 0700, ref SDS 37 7F6O - was paused today, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126222 - prevent side effects of lowering HDL 33%, reported on 180724 1645.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126223 - ref SDS A1 EZ7G  Did not take NSAID (ibuprofen) after PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126224 - treatment on 180620 1530. ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126225 -                                                    Pain Level   Day
126226 -         ..
126227 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126228 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126229 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126230 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126231 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126232 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126233 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126234 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126235 -        Tailor's Bunion left foot....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126236 -        Tailor's Bunion right foot...................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126237 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126238 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126239 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126240 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126241 -        Callus big toe left foot.....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126242 -        Callus big toe right foot....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126243 -        Blister below big toe left foot..............   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126244 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126245 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126246 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126248 -  ..
126249 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126250 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126251 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126252 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126253 - last night on 181119, per above. ref SDS 0 UQQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126255 -  ..
126256 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126257 - nutrients depleted, so did not took pills in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126259 -  ..
126260 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126261 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126263 -  ..
126264 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126265 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126266 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126268 -  ..
126269 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126270 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126271 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126272 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126274 -  ..
126275 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126276 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126278 -  ..
126279 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126280 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126282 -  ..
126283 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126284 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126285 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126286 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126287 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126289 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126290 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126291 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126292 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126293 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126294 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126295 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126296 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126297 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126298 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126299 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126300 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126301 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126302 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126303 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126304 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126305 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126306 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126307 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126308 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126309 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126310 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126311 -        again today.................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126313 -  ..
126314 - Today, calluses edge both big toes applied liquid bandage; pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126315 - 1 last 3 miles of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126317 -  ..
126318 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126319 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126320 - lotion applied on 181120.  Before hike applied liquid bandage.  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126321 - hike blister pain level 1 on left foot below big toe, last 3 miles of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126322 - hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126324 -  ..
126325 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126326 - 180824 1515. ref SDS A8 0001  Knee noticably swelled after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126328 -  ..
126329 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126330 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126332 -  ..
126333 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126335 -  ..
126336 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126337 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126338 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126339 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126340 - Applied liquid bandage before hike.  Pain level 1 last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126342 -  ..
126343 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126344 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126345 - good.  Visibility better today, but poor due to "air quality alert"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126346 - from "Camp Fire" that destroyed town of Paradise on highway 99 North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126347 - of Chico; can barely see Mount Diablo and local mountains.  No smell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126348 - of smoke.  Many people wearing protective breathing masks/filters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126349 - Time to 1.25 miles 18 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126350 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126351 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126352 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126353 - traffic flow.  Time mile 4.25 68 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126354 - Valley Road going West against no wind.  At mile 5 pain level 0, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126355 - turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126356 - going 1 mile uphill.  At summit maintained pace on flat ground.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126357 - Going down steep hill toward Rolling Woods Way.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126358 - increased pace hiking .3 miles up steeper hill on Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126359 - Slowed pace going downhill to Pine Hollow.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126360 - Hollow and increased pace hiking 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126361 - Hiked West back to Crystal Ranch Road about 1 mile.  After 1st loop,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126362 - feet hurting, so did not turn corner and hike another 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126363 - Hiked up shallower hill to Cowell.  Turned corner and hiked downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126364 - 1 mile to Treat and then home for 11 mile hike.  This saved feet for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126365 - hiking tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126367 -  ..
126368 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126369 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126370 - Dinner - lettuce onion avocado salmon tomato cumcumber celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126371 - mushrooms, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126373 -  ..
126374 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126378 -         ..
126379 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126380 -  327.  181121 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126381 -               0900....BP HR..................................................... 137  70  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126382 -               0905....BP HR..................................................... 123  68  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126383 -               0910....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126384 -               0910... 20 17480 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126385 -               0910... 80 100700 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126386 -               0910....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126387 -               0000... Naproxen (Aleve) 1 pill 250  68450 - enable hike 15+ miles today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126388 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126389 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126390 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126391 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126392 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126393 -          * cr 1230....miles...........   7.0  16.00  104  519 minutes temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126394 -               1425....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126395 -               1430....BP HR..................................................... 117  68  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126396 -               1435....BP HR..................................................... 118  67  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126397 -               1720... 40 38660 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126398 -               1830............ 10 11030  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126399 -               1830............ 10 10620  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126400 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126401 -               1830... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126402 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126403 -               2020... 1000  303000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126404 -               2150... 80 100780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126406 -  ..
126407 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126408 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126409 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126411 -  ..
126412 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126413 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126414 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126415 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126416 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126417 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126418 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126419 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126420 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126421 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126423 -  ..
126424 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126426 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126427 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126428 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126429 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126430 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126432 -  ..
126433 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126434 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126435 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126436 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126437 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126439 -  ..
126440 - Blood pressure good and heart rate good today, after hiking 11 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126441 - yesterday on 181120, ref SDS 0 USWQ, and after pausing Naproxen on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126442 - 181118, ref SDS 0 3J3N, and taking 1000 mg calcium carbonate (Tums)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126443 - and not taking 40 units Mylanta gastrointestinal drugs also paused on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126444 - 181118, per above. ref SDS 0 3J3N  BP and heart rate okay after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126445 - 7 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126447 -  ..
126448 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126449 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126450 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126451 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126453 -  ..
126454 - Weight - 172 this morning after hiking 11 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126455 - yesterday on 181120, per above. ref SDS 0 UVRV  After hiking 7 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126456 - weight 170, lost 2 pounds. ref SDS 0 UVSR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126458 -  ..
126459 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126460 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126461 - normal.  Last night got up only 2 times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126463 -  ..
126464 - Pain medication - Pause Naproxen 250 mg today, because Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126465 - increases blood pressure and increases LDL in lab, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126466 - 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126467 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126468 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126469 - month or so, but benefits of PRP seem to be wearing off.  Reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126470 - of daily acetaminophen 1000 mg causing intoxication that lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126471 - for lab today.  Naproxex 1 pill 250 mg seems smaller and so reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126472 - risk getting stuck above LESV and causing ulceration.  Naproxen seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126473 - to increase blood pressure, see above. ref SDS 0 XT6N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126474 - Naproxen pill (NSAID which conflicts with PRP line of care) got stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126475 - on 180702, reported on 180703, per above. ref SDS 0 SQTY  Hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126476 - does not raise blood pressure nor lower HDL, received on 180730 1726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126477 - ref SDS A3 0O9K  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126478 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126479 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126480 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126481 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126482 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126483 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126484 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126485 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126486 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126487 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126488 -                                                    Pain Level   Day
126489 -         ..
126490 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126491 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126492 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126493 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126494 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126495 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126496 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126497 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126498 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126499 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126500 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126501 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126502 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126503 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126504 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126505 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126506 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126507 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126508 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126509 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126511 -  ..
126512 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126513 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126514 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126515 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126516 - statins last night on 181120, per above. ref SDS 0 USWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126518 -  ..
126519 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126520 - nutrients depleted, so took 0 pills in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126522 -  ..
126523 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126524 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126526 -  ..
126527 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126528 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126529 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126531 -  ..
126532 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126533 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126534 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126535 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126537 -  ..
126538 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126539 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126541 -  ..
126542 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126543 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126545 -  ..
126546 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126547 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126548 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126549 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126550 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126552 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126553 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126554 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126555 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126556 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126557 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126558 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126559 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126560 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126561 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126562 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126563 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126564 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126565 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126566 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126567 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126568 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126569 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126570 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126571 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126572 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126573 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126574 -        again today.................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126576 -  ..
126577 - Today, calluses edge both big toes applied liquid bandage; pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126578 - 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126580 -  ..
126581 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126582 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126583 - lotion applied on 181120.  Before hike applied liquid bandage.  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126584 - hike blister pain level 0 on left foot below big toe entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126586 -  ..
126587 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126588 - 180824 1515. ref SDS A8 0001  Knee noticably swelled after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126590 -  ..
126591 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126592 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126594 -  ..
126595 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126597 -  ..
126598 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126599 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126600 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126601 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126602 - Applied liquid bandage before hike.  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126604 -  ..
126605 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126606 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126607 - good - light rain.  Time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126608 - Clayton hiking concrete sidewalk.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126609 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126610 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126611 - against Eastbound traffic flow.  Time mile 4.25 65 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126612 - Continuing on Ygnacio Valley Road going West against wind and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126613 - significante rain.  At mile 5 pain level 0.  Heavy rain, so did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126614 - turn corner and hike 4-mile loop on Crystal Ranch Road.  Hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126615 - shallower hill to Cowell.  Turned corner and hiked downhill 1 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126616 - Treat and then home for 7 mile hike.  This saved feet for hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126617 - tomorrow.  There was significant runoff along Cowell pouring into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126618 - storm drains.  In some cases where drains were spaced far apart, water                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126619 - flow rose along the shoulder of the road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126621 -  ..
126622 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126623 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126624 - Dinner - roast beef potato carrots squash, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126626 -  ..
126627 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126631 -         ..
126632 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126633 -  328.  181122 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126634 -               1030....BP HR..................................................... 141  76  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126635 -               1035....BP HR..................................................... 123  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126636 -               1040....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126637 -               1040... 20 17500 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126638 -               1040... 80 100860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126639 -               1040....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126640 -               1040... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126641 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126642 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126643 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126644 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126645 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126646 -               1710... 40 38660 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126647 -             1 0000............ 10 11030  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126648 -             1 0000............ 10 10620  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126649 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126650 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126651 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126652 -               1940... 1000  303000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126653 -               2220... 80 101020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126655 -  ..
126656 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126657 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126658 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126659 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126660 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126661 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126662 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126663 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126664 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126665 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126667 -  ..
126668 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126670 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126671 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126672 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126673 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126674 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126676 -  ..
126677 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126678 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126679 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126680 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126681 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126683 -  ..
126684 - Blood pressure good and heart rate good today, after hiking 7 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126685 - yesterday on 181121, ref SDS 0 UVSR, and after pausing Naproxen on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126686 - 181118, ref SDS 0 3J3N, and taking 1000 mg calcium carbonate (Tums)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126687 - and not taking 40 units Mylanta gastrointestinal drugs also paused on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126688 - 181118, per above. ref SDS 0 3J3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126690 -  ..
126691 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126692 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126693 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126694 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126696 -  ..
126697 - Weight - 173 this morning after hiking 7 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126698 - yesterday on 181121, per above. ref SDS 0 UXXU  After hiking 7 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126699 - weight 170, lost 2 pounds. ref SDS 0 UVSR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126701 -  ..
126702 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126703 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126704 - normal.  Last night got up only 4 times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126706 -  ..
126707 - Pain medication - Naproxen 250 mg today on 181122, hike 20+ miles, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126708 - did not go hiking due to weather; Naproxen increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126709 - and increases LDL in lab, as occurred on 181021 1541. ref SDS B2 KU6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126710 - PRP treatment on 180824 1515, ref SDS A8 0001, reduced need for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126711 - medication.  NSAID's like naproxen and ibuprofen suppress performance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126712 - of PRP injections for a month or so, but benefits of PRP seem to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126713 - wearing off.  Reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126714 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126715 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126716 - ulceration.  Naproxen seems to increase blood pressure, see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126717 - ref SDS 0 XT6N  Seemed like Naproxen pill (NSAID which conflicts with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126718 - PRP line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126719 - ref SDS 0 SQTY  Hydrocodone does not raise blood pressure nor lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126720 - HDL, received on 180730 1726. ref SDS A3 0O9K  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126721 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126722 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126723 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126724 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126725 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126726 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126727 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126728 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126729 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126730 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126732 -  ..
126733 - Breakfast - cheerios chia seeds milk with Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126734 - Lunch - sandwich balogny tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126735 - Dinner - lettuce onion tomato asparagus tuna avocado cucmumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126736 - mushrooms cheese, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126738 -  ..
126739 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126743 -         ..
126744 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126745 -  329.  181123 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126746 -               0950....BP HR..................................................... 152  81  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126747 -               0955....BP HR..................................................... 143  74  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126748 -               1000....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126749 -               1000... 20 17520 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126750 -               1000... 80 101020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126751 -               0000....Glucosamine Chondroitin - first time since 170726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126752 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126753 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126754 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126755 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126756 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126757 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126758 -               1640... 40 38700 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126759 -               1830............ 10 11040  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126760 -               1830............ 10 10630  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126761 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126762 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126763 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126764 -               1940... 1000  304000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126765 -               2220... 80 101100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126767 -  ..
126768 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126769 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126770 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126772 -  ..
126773 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126774 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126775 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126776 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126777 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126778 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126779 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126780 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126781 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126782 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126784 -  ..
126785 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126787 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126788 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126789 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126790 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126791 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126793 -  ..
126794 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126795 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126796 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126797 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126798 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126800 -  ..
126801 - Blood pressure poor 150 76 aligns with taking Naproxen yesterday, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126802 - 181122, per above, ref SDS 0 Z25K, planning for long hike, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126803 - do hike due to weather; and heart rate good today, after hiking 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126804 - miles yesterday on 181122, ref SDS 0 Z25K, and taking 1000 mg calcium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126805 - carbonate (Tums) and not taking 40 units Mylanta gastrointestinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126806 - drugs also paused on 181118, per above. ref SDS 0 3J3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126808 -  ..
126809 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126810 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126811 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126812 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126814 -  ..
126815 - Weight - 173 this morning after hiking 7 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126816 - yesterday on 181121, per above. ref SDS 0 UXXU  After hiking 7 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126817 - weight 170, lost 2 pounds. ref SDS 0 UVSR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126819 -  ..
126820 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126821 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126822 - normal.  Last night got up only 6 times.  Could be Pantoprazole,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126823 - since previously Omeprazole caused frequent urination, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126824 - case study...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126826 -              F:\05\00003\SM\CC\CHMG\FNGC\CJGK\achalasia_meds_lesv.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126828 -  ..
126829 - Pain medication - Naproxen 250 mg today on 181122, hike 20+ miles, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126830 - did not go hiking due to weather; Naproxen increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126831 - and increases LDL in lab, as occurred on 181021 1541. ref SDS B2 KU6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126832 - PRP treatment on 180824 1515, ref SDS A8 0001, reduced need for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126833 - medication.  NSAID's like naproxen and ibuprofen suppress performance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126834 - of PRP injections for a month or so, but benefits of PRP seem to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126835 - wearing off.  Reduces risk of daily acetaminophen 1000 mg causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126836 - intoxication that lowers HDL for lab today.  Naproxex 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126837 - seems smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126838 - ulceration.  Naproxen seems to increase blood pressure, see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126839 - ref SDS 0 XT6N  Seemed like Naproxen pill (NSAID which conflicts with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126840 - PRP line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126841 - ref SDS 0 SQTY  Hydrocodone does not raise blood pressure nor lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126842 - HDL, received on 180730 1726. ref SDS A3 0O9K  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126843 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126844 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126845 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126846 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126847 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126848 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126849 - ref SDS 37 7F6O - was paused today, in order to prevent side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126850 - of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126851 - take NSAID (ibuprofen) after PRP injection treatment on 180620 1530.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126852 - ref SDS 94 HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126854 -  ..
126855 - Breakfast - eggs pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126856 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126857 - Dinner - potatoes roast beef onion carrots mushrooms gravy celery,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126858 - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126860 -  ..
126861 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126865 -         ..
126866 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126867 -  330.  181124 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126868 -               0740....BP HR..................................................... 130  76  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126869 -               0745....BP HR..................................................... 133  77  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126870 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126871 -               0750... 20 17540 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126872 -               0750... 80 101180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126873 -               0750....Glucosamine Chondroitin - first time since 176726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126874 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126875 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126876 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126877 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126878 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126879 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126880 -          * cr 0820....miles...........  15.0  49.00  230  749 minutes temp  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126881 -               1250....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126882 -               1255....BP HR..................................................... 113  73 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126883 -               1300....BP HR..................................................... 109  74  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126884 -               1740... 40 38740 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126885 -             1 0000............ 10 11040  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126886 -             1 0000............ 10 10630  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126887 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126888 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126889 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126890 -               1940... 1000  305000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126891 -               2220... 80 101260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126893 -  ..
126894 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126895 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126896 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126898 -  ..
126899 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126900 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126901 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126902 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126903 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126904 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126905 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126906 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126907 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126908 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126910 -  ..
126911 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126913 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126914 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126915 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126916 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126917 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126919 -  ..
126920 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126921 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126922 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126923 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126924 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126926 -  ..
126927 - Blood pressure okay 130 76 aligns with not taking Naproxen yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126928 - on 181123, per above, ref SDS 0 VPPS, and heart rate good today, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126929 - hiking 0 miles yesterday on 181123, ref SDS 0 VPPS, and taking 1000 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126930 - calcium carbonate (Tums) and not taking 40 units Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126931 - gastrointestinal drugs also paused on 181118, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126932 - 3J3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126934 -  ..
126935 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126936 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126937 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126938 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126940 -  ..
126941 - Weight - 176 this morning after hiking 0 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126942 - yesterday on 181123, per above. ref SDS 0 VRTV  After hiking 15 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126943 - weight 172, lost 4 pounds. ref SDS 0 VPPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126945 -  ..
126946 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126947 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126948 - normal.  Last night got up only 5 times.  Could be Pantoprazole,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126949 - since previously Omeprazole caused frequent urination, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126950 - case study...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126952 -              F:\05\00003\SM\CC\CHMG\FNGC\CJGK\achalasia_meds_lesv.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126954 -  ..
126955 - Pain medication - paused Naproxen 250 mg today on 181124, hike 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126956 - miles; Naproxen increases blood pressure and increases LDL in lab, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126957 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126958 - 1515, ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126959 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126960 - month or so, but benefits of PRP seem to be wearing off.  Reduces risk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126961 - of daily acetaminophen 1000 mg causing intoxication that lowers HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126962 - for lab today.  Naproxex 1 pill 250 mg seems smaller and so reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126963 - risk getting stuck above LESV and causing ulceration.  Naproxen seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126964 - to increase blood pressure, see above. ref SDS 0 XT6N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126965 - Naproxen pill (NSAID which conflicts with PRP line of care) got stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126966 - on 180702, reported on 180703, per above. ref SDS 0 SQTY  Hydrocodone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126967 - does not raise blood pressure nor lower HDL, received on 180730 1726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126968 - ref SDS A3 0O9K  Normally take 2 Naproxen or Hydrodocone pills, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126969 - this increases chances of pills getting stuck above LESV causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126970 - ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126971 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126972 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126973 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126974 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126975 - paused today, in order to prevent side effects of lowering HDL 33%,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126976 - reported on 180724 1645. ref SDS A1 EZ7G  Did not take NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126977 - (ibuprofen) after PRP injection treatment on 180620 1530. ref SDS 94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126978 - HP5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126980 -                                                    Pain Level   Day
126981 -         ..
126982 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126983 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126984 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126985 -        Knee left......glucosamine chondroitin.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126986 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126987 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126988 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126989 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126990 -        Tailor's Bunion left foot....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126991 -        Tailor's Bunion right foot...................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126992 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126993 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126994 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126995 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126996 -        Callus big toe left foot.....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126997 -        Callus big toe right foot....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126998 -        Blister below big toe left foot..............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126999 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127000 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127001 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127003 -  ..
127004 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127005 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127006 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127007 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127008 - last night on 181123, per above. ref SDS 0 VPPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127010 -  ..
127011 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127012 - nutrients depleted, so took 0 pills in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127014 -  ..
127015 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127016 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127018 -  ..
127019 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127020 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127021 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127023 -  ..
127024 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127025 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127026 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127027 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127029 -  ..
127030 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127031 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127033 -  ..
127034 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127035 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127037 -  ..
127038 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127039 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127040 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127041 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127042 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127044 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127045 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127046 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127047 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127048 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127049 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127050 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127051 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127052 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127053 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127054 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127055 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127056 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127057 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127058 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127059 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127060 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127061 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127062 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127063 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127064 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127065 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127066 -        again today.................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127068 -  ..
127069 - Today, calluses edge both big toes applied liquid bandage; pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127070 - 3 last 2 miles, prevented hiking last mile loop around Cowell Terrace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127071 - complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127073 -  ..
127074 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127075 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127076 - lotion applied on 181120.  Before hike applied liquid bandage.  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127077 - hike blister pain level 2 on left foot below big toe last mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127079 -  ..
127080 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127081 - 180824 1515. ref SDS A8 0001  Knee noticably swelled after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127083 -  ..
127084 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127085 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127087 -  ..
127088 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127090 -  ..
127091 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127092 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127093 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127094 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127095 - Applied liquid bandage before hike.  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127097 -  ..
127098 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127099 - ref SDS 22 HG3F  Did not do extra 1-mile loop at the end in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127100 - avoid compounding feet injuries.  Starting energy good.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127101 - miles 18 minutes.  Maintained pace on Clayton hiking concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127102 - sidewalk.  Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127103 - to mile 3.5, then switched to asphault roadway.  About mile 3.8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127104 - crossed from North to South Side to hike against Eastbound traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127105 - flow.  Time mile 4.25 66 minutes.  Continuing on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127106 - going West hiking well.  At mile 5 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127107 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127108 - uphill.  At summit maintained pace on flat ground.  Going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127109 - hill toward Rolling Woods Way.  Turned corner and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127110 - hiking .3 miles up steeper hill on Rolling Woods Way.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127111 - going downhill to Pine Hollow.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127112 - increased pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127113 - on Ygnacio Valley Road back to Crystal Ranch Road about 1 mile.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127114 - 1st loop, feet beginning to hurt, so did not turn corner and hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127115 - another 4-mile loop.  Hiked up shallower hill to Cowell.  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127116 - pace uphill to summit of Ygnacio Valley Road.  Maintained pace for 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127117 - miles slight downhill grade.  Turned corner onto Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127118 - Calluses and Tailor's bunions both feet pain level 3.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127119 - sidewalk for flatter surface - not sure this helped much.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127120 - mile to Treat, and turned East onto Treat.  Hiked about 1 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127121 - uphill for .5 miles to Cuneo.  Decided not to do 1 mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127122 - complex - ended hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127124 -  ..
127125 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127126 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127127 - Dinner - lettuce onion tomato asparagus meatloaf avocado cucmumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127128 - mushrooms cheese, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127130 -  ..
127131 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127135 -         ..
127136 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127137 -  331.  181125 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127138 -               0850....BP HR..................................................... 148  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127139 -               0855....BP HR..................................................... 135  69  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127140 -               0900....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127141 -               0900... 20 17560 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127142 -               0900... 80 101340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127143 -               0900....Glucosamine Chondroitin - first time since 176726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127144 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127145 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127146 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127147 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127148 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127149 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127150 -          * cr 0920....miles...........  17.0  66.00  257  749 minutes temp  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127151 -               1440....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127152 -               1450....BP HR.....................................................  99  65 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127153 -               1300....BP HR..................................................... 106  65  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127154 -               1740... 40 38780 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127155 -               1830............ 10 11050  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127156 -               1830............ 10 10640  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127157 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127158 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127159 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127160 -               1940... 1000  306000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127161 -               2220... 80 101420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127163 -  ..
127164 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127165 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127166 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127168 -  ..
127169 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127170 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127171 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127172 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127173 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127174 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127175 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127176 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127177 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127178 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127180 -  ..
127181 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127183 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127184 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127185 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127186 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127187 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127189 -  ..
127190 - Orthopedic treatment Supartz injections knees approved on 181025,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127191 - reported in another record. ref SDS B3 ZY5G  This will defer another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127192 - PRP treatment hopefully until January or February, and will eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127193 - having to take acetaminophen, which lowers HDL, and Naproxen, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127194 - raises LDL and blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127196 -  ..
127197 - Blood pressure poor 135 69 conflicts with not taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127198 - yesterday, on 181124, per above, ref SDS 0 VQQY, and heart rate good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127199 - today, after hiking 15 miles yesterday on 181124, ref SDS 0 VQQY, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127200 - taking 1000 mg calcium carbonate (Tums) and not taking 40 units                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127201 - Mylanta gastrointestinal drugs also paused on 181118, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127202 - ref SDS 0 3J3N  BP and heart rate good after hiking 17 miles today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127204 -  ..
127205 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127206 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127207 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127208 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127210 -  ..
127211 - Weight - 175 this morning after hiking 15 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127212 - yesterday on 181124, per above. ref SDS 0 VRTV  After hiking 17 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127213 - weight 170, lost 5 pounds. ref SDS 0 RY5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127215 -  ..
127216 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127217 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127218 - normal.  Last night got up only 2 times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127220 -  ..
127221 - Pain medication - paused Naproxen 250 mg today on 181124, hike 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127222 - miles; Naproxen and ibuprofen increase blood pressure, see on 181101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127223 - above, ref SDS 0 XT6N; and naproxen increases LDL in lab, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127224 - on 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127225 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127226 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127227 - month or so, but benefits of PRP seem to be wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127228 - Acetaminophen 1000 mg causes intoxication that lowers HDL 30%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127229 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127230 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127231 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127232 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127233 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127234 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127235 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127236 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127237 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127238 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127239 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127240 - on 160101 0700, ref SDS 37 7F6O - was paused, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127241 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127244 -                                                    Pain Level   Day
127245 -         ..
127246 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127247 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127248 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127249 -        Knee left......glucosamine chondroitin.......   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127250 -        Knee right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127251 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127252 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127253 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127254 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127255 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127256 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127257 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127258 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127259 -        Metatarsalgia right foot.....................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127260 -        Callus big toe left foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127261 -        Callus big toe right foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127262 -        Blister below big toe left foot..............   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127263 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127264 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127265 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127267 -  ..
127268 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127269 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127270 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127271 - no evident peripheral neuropathy in right foot after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127272 - statins last night on 181124, per above. ref SDS 0 VQQY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127274 -  ..
127275 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127276 - nutrients depleted, so took 0 pills in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127278 -  ..
127279 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127280 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127282 -  ..
127283 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127284 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127285 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127287 -  ..
127288 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127289 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127290 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127291 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127293 -  ..
127294 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127295 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127297 -  ..
127298 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127299 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127301 -  ..
127302 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127303 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127304 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127305 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127306 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127308 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127309 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127310 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127311 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127312 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127313 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127314 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127315 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127316 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127317 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127318 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127319 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127320 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127321 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127322 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127323 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127324 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127325 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127326 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127327 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127328 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127329 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127330 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127331 -        again today.................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127333 -  ..
127334 - Today, calluses edge both big toes did not apply liquid bandage; pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127335 - level 2 last 2 miles, prevented hiking last 3 miles for 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127337 -  ..
127338 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127339 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127340 - lotion applied on 181120.  Before hike applied liquid bandage.  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127341 - hike blister pain level 2 on left foot below big toe last 2 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127342 - prevented hiking last 3 miles for 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127344 -  ..
127345 - Left knee - pain level 2 last 2 miles, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127346 - 180824 1515. ref SDS A8 0001  Knee noticably swelled after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127348 -  ..
127349 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127350 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127352 -  ..
127353 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127355 -  ..
127356 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127357 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127358 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127359 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127360 - Applied liquid bandage before hike.  Pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127362 -  ..
127363 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127364 - ref SDS 22 HG3F  Did not do extra 1-mile loop at the end in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127365 - avoid compounding feet injuries.  Starting energy good.  Time to 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127366 - miles 18 minutes.  Increased pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127367 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127368 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127369 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127370 - 4.25 65 minutes.  Continuing on Ygnacio Valley Road going West hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127371 - well.  At mile 5 pain level 0, so turned corner and hiked 4-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127372 - on Crystal Ranch Road.  Good pace going 1 mile uphill.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127373 - maintained pace on flat ground.  Going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127374 - Woods Way.  Turned corner and increased pace hiking .3 miles up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127375 - steeper hill on Rolling Woods Way.  Slowed pace going downhill to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127376 - Hollow.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127377 - mile back to Ygnacio Valley Road.  Hiked West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127378 - back to Crystal Ranch Road about 1 mile.  Feeling feet, but decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127379 - do another loop, so turned corner onto Crystal Ranch Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127380 - 2nd 4-mile loop.  Despite feet hurting, hiked uphill 1 mile faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127381 - than on 1st loop.  Similarly went uphill faster on Rolling Woods Way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127382 - and hiked faster going downhill.  After 2nd loop, feet hurt even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127383 - worse, so did not turn corner and hike another 4-mile loop.  Hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127384 - shallower hill to Cowell.  Increased pace uphill to summit of Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127385 - Valley Road.  Maintained pace for 2 miles slight downhill grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127386 - Turned corner onto Oak Grove.  Calluses and Tailor's bunions both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127387 - pain level 3.  Called Kathy to meet at corner of Treat and Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127388 - Hiked on sidewalk for flatter surface - not sure this helped much.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127389 - Hiked 1 mile to Treat.  Met Kathy; she drove us home for 17 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127391 -  ..
127392 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127393 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127394 - Dinner - macaroni cheese tuna brocolli squash, ice cream milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127396 -  ..
127397 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127401 -         ..
127402 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127403 -  332.  181126 0600..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127404 -               0610....BP HR..................................................... 129  68  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127405 -               0615....BP HR..................................................... 132  68  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127406 -               0620....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127407 -               0620... 20 17580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127408 -               0620... 80 101500 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127409 -               0620....Glucosamine Chondroitin - first time since 176726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127410 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127411 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127412 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127413 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127414 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127415 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127416 -               1630... 40 38820 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127417 -             1 0000............ 10 11050  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127418 -             1 0000............ 10 10640  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127419 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127420 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127421 -               0000... 40 17580 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127422 -               1940... 1000  307000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127423 -               2110... 80 101580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127425 -  ..
127426 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127427 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127428 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127429 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127430 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127431 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127432 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127433 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127434 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127435 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127437 -  ..
127438 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127440 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127441 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127442 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127443 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127444 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127446 -  ..
127447 - Orthopedic treatment Supartz injections knees performed today, by Gina                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127448 - at VA Clinic in Santa Rosa, reported in another record today, on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127449 - 181126 1030. ref SDS B8 V54H  This was ordered by Doctor Thuiller at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127450 - VAMCSF on 181025, ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127452 -  ..
127453 - After getting Supartz injections today, met with Doctor Gloria Tucker                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127454 - at her office also in Santa Rosa.  She scheduled next PRP injections a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127455 - week after completing Supartz injections at the VA, and on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127456 - 1600.  This will test theraputic benefits of combining Supartz                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127457 - (hyaluronic acid) with PRP, also reported in another record. 181126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127458 - 1127, ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127460 -  ..
127461 - Blood pressure okay 129 68 aligns with not taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127462 - yesterday, on 181125, per above, ref SDS 0 RY5O, and heart rate good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127463 - today, after hiking 17 miles yesterday on 181125, ref SDS 0 RY5O, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127464 - taking 1000 mg calcium carbonate (Tums) and not taking 40 units                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127465 - Mylanta gastrointestinal drugs also paused on 181118, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127466 - ref SDS 0 3J3N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127468 -  ..
127469 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127470 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127471 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127472 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127474 -  ..
127475 - Weight - 174 this morning after hiking 17 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127476 - yesterday on 181125, per above. ref SDS 0 VVTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127478 -  ..
127479 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127480 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127481 - normal.  Last night got up only 2 times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127483 -  ..
127484 - Hiking - none, Supartz injections in Santa Rosa, reported in another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127485 - record today on 181126 1030, ref SDS B8 V54H, and traveling to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127486 - Sacramento for another EGD procedure with Doctor Lee in GI Clinic at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127487 - VAMC.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127489 -  ..
127490 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127491 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127492 - Dinner - lasagna cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127494 -  ..
127495 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127499 -         ..
127500 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127501 -  333.  181127 0450..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127502 -               0610....BP HR..................................................... 169  80  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127503 -               0615....BP HR..................................................... 156  79  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127504 -               0620....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127505 -               0000... 20 17580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127506 -               0000... 80 101580 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127507 -               0000....Glucosamine Chondroitin - first time since 176726, shown in case study on 160101 0700. ref SDS 37 RYXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127508 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127509 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127510 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127511 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127512 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127513 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127514 -             1 0000... 40 38820 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127515 -               1700... 80 101660 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127516 -               1930............ 10 11060  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127517 -               1930............ 10 10650  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127518 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127519 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127520 -               2040... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127521 -               2110... 1000  308000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127522 -               2200... 80 101740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127524 -  ..
127525 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127526 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127527 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127528 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127529 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127530 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127531 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127532 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127533 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127534 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127536 -  ..
127537 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127539 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127540 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127541 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127542 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127543 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127545 -  ..
127546 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127547 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127548 - Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127550 -  ..
127551 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127552 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127553 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127554 - with PRP, reported in another record. 181126 1127, ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127556 -  ..
127557 - Blood pressure poor 156 79 conflicts with not taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127558 - yesterday, on 181125, per above, ref SDS 0 RY5O, and heart rate good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127559 - today, after hiking 0 miles yesterday on 181126, ref SDS 0 5S8N, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127560 - taking 1000 mg calcium carbonate (Tums) and not taking 40 units                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127561 - Mylanta gastrointestinal drugs also paused on 181118, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127562 - ref SDS 0 3J3N  BP may be elevated this morning due to less sleep last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127563 - night, getting up through the night for frequent urination, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127564 - starting work at 0450.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127566 -  ..
127567 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127568 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127569 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127570 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127572 -  ..
127573 - Weight - 175 this morning after hiking 0 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127574 - yesterday on 181125, per above. ref SDS 0 VYPY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127576 -  ..
127577 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127578 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127579 - normal.  Last night got up only 7 times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127581 -  ..
127582 - Hiking - none, in Sacramento for EGD dilation at VAMC today, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127583 - in another record on 181127 0800. ref SDS C0 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127585 -  ..
127586 - Breakfast - NPO for EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127587 - Lunch - hamburger at Arby's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127588 - Dinner - lettuce onion tomato diced ham avocado cumcumber mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127589 - chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127591 -  ..
127592 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127597 -         ..
127598 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127599 -  334.  181128 0710..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127600 -               0740....BP HR..................................................... 142  73  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127601 -               0745....BP HR..................................................... 141  71  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127602 -               0750....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127603 -               0750... 20 17580 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127604 -               0750... 80 101860 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127605 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127606 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127607 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127608 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127609 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127610 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127611 -          * cr 1030....miles...........  17.0  17.00  261  261 minutes temp  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127612 -               1510....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127613 -               1515....BP HR..................................................... 118  73  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127614 -               1520....BP HR..................................................... 115  66  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127615 -               1600... 40 38860 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127616 -             1 0000... 80 101860 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127617 -             1 0000............ 10 11060  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127618 -             1 0000............ 10 10650  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127619 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127620 -               2110... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127621 -               0000... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127622 -               2110... 1000  309000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127623 -               2230... 80 101980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127625 -  ..
127626 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127627 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127628 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127630 -  ..
127631 - Bondi 6 Wide shoes - switched today from wearing Bondi 5 wide the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127632 - year.  Very good result.  Excellent rebound energy drives faster pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127633 - Excellent cushioning protects against metatarsalgia, and prevents                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127634 - Tailor's Bunion injuries and general blisting - none today, for 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127635 - time in over 12 months.  Pain level 0 for calluses on both big toes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127637 -  ..
127638 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127639 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127640 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127641 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127642 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127643 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127644 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127645 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127646 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127647 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127649 -  ..
127650 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127652 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127653 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127654 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127655 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127656 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127658 -  ..
127659 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127660 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127661 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127663 -  ..
127664 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127665 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127666 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127667 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127669 -  ..
127670 - Blood pressure poor 141 71 conflicts with not taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127671 - yesterday, on 181125, per above, ref SDS 0 RY5O, and heart rate good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127672 - today, after hiking 0 miles yesterday on 181127, ref SDS 0 A88L, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127673 - taking 1000 mg calcium carbonate (Tums) and aligns with taking 40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127674 - units Mylanta gastrointestinal drugs also paused on 181118, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127675 - ref SDS 0 3J3N  BP after hike little high, possibly due to Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127676 - last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127678 -  ..
127679 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127680 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127681 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127682 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127684 -  ..
127685 - Weight - 177 this morning after hiking 0 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127686 - yesterday on 181127, per above. ref SDS 0 VXTR  After hike weight 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127687 - so lost 5 pounds, per above. ref SDS 0 BG8J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127689 -  ..
127690 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127691 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127692 - normal.  Last night got up only 5 times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127694 -  ..
127695 - Pain medication - paused Naproxen 250 mg today on 181124, hike 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127696 - miles; Naproxen and ibuprofen increase blood pressure, see on 181101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127697 - above, ref SDS 0 XT6N; and naproxen increases LDL in lab, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127698 - on 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127699 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127700 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127701 - month or so, but benefits of PRP seem to be wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127702 - Acetaminophen 1000 mg causes intoxication that lowers HDL 30%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127703 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127704 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127705 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127706 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127707 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127708 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127709 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127710 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127711 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127712 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127713 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127714 - on 160101 0700, ref SDS 37 7F6O - was paused, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127715 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127718 -                                                    Pain Level   Day
127719 -         ..
127720 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127721 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127722 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127723 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127724 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127725 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127726 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127727 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127728 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127729 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127730 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127731 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127732 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127733 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127734 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127735 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127736 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127737 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127738 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127739 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127741 -  ..
127742 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127743 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127744 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127745 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127746 - last night on 181127, per above. ref SDS 0 A88L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127748 -  ..
127749 - Legs and arms 5 hours after hike did not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127750 - nutrients depleted, so took 0 pills in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127752 -  ..
127753 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127754 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127756 -  ..
127757 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127758 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127759 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127761 -  ..
127762 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127763 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127764 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127765 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127767 -  ..
127768 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127769 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127771 -  ..
127772 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127773 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127775 -  ..
127776 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127777 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127778 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127779 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127780 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127782 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127783 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127784 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127785 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127786 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127787 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127788 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127789 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127790 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127791 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127792 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127793 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127794 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127795 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127796 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127797 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127798 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127799 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127800 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127801 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127802 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127803 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127804 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127805 -        again today.................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127807 -  ..
127808 - Today, calluses edge both big toes did not apply liquid bandage; pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127809 - level 2 last 2 miles, prevented hiking last 3 miles for 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127810 - Nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127812 -  ..
127813 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127814 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127815 - lotion applied on 181120.  Before hike applied liquid bandage.  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127816 - hike blister pain level 0 on left foot below big toe entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127817 - wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127819 -  ..
127820 - Left knee - pain level 2 last 2 miles, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127821 - 180824 1515. ref SDS A8 0001  Knee noticably swelled after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127823 -  ..
127824 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127825 - 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127827 -  ..
127828 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127830 -  ..
127831 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127832 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127833 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127834 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127835 - Nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127837 -  ..
127838 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127839 - ref SDS 22 HG3F  Did not do extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127840 - energy good, excellent rebound energy with new Hoka Bondi 6 Wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127841 - shoes.  Feet feel protected from blister injuries, there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127842 - sliding.  Time to 1.25 miles 17 minutes.  Shoes made it easy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127843 - increase pace on Clayton hiking concrete sidewalk.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127844 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127845 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127846 - hike against Eastbound traffic flow.  Continued faster pace wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127847 - Hoka Bondi 6 shoes.  Time mile 4.25 63 minutes - fastest this year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127848 - Continuing on Ygnacio Valley Road going West hiking well.  At mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127849 - pain level 0, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127850 - Road.  Good pace going 1 mile uphill.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127851 - flat ground.  Going down steep hill toward Rolling Woods Way.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127852 - corner and increased pace hiking .3 miles up steeper hill on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127853 - Woods Way.  Slowed pace going downhill to Pine Hollow.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127854 - onto Pine Hollow and increased pace hiking 1 mile back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127855 - Valley Road.  Hiked West on Ygnacio Valley Road back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127856 - Road about 1 mile.  Feeling feet, but decided to do another loop, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127857 - turned corner onto Crystal Ranch Road and hiked 2nd 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127858 - Despite feet hurting, hiked uphill 1 mile faster than on 1st loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127859 - Similarly went uphill faster on Rolling Woods Way, and hiked faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127860 - going downhill.  After 2nd loop, feet hurt even worse, so did not turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127861 - corner and hike another 4-mile loop.  Hiked up shallower hill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127862 - Cowell.  Increased pace uphill to summit of Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127863 - Maintained pace for 2 miles slight downhill grade.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127864 - Oak Grove.  Calluses and Tailor's bunions both feet pain level 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127865 - Called Kathy to meet at corner of Treat and Oak Grove.  Hiked on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127866 - sidewalk for flatter surface - not sure this helped much.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127867 - mile to Treat.  Met Kathy; she drove us home for 17 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127869 -  ..
127870 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127871 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127872 - Dinner - pizza 3 small pieces beer chips donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127874 -  ..
127875 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127879 -         ..
127880 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127881 -  335.  181129 0805..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127882 -               0900....BP HR..................................................... 136  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127883 -               0905....BP HR..................................................... 132  68  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127884 -               0910....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127885 -               0910... 20 17600 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127886 -               0910... 80 102060 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127887 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127888 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127889 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127890 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127891 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127892 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127893 -             1 0000... 40 38860 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127894 -               1730... 80 102140 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127895 -               1830............ 10 11070  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127896 -               1830............ 10 10660  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127897 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127898 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127899 -               0000... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127900 -               2050... 1000  310000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127901 -               2320... 80 102220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127903 -  ..
127904 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127905 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127906 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127907 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127908 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127909 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127910 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127911 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127912 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127913 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127915 -  ..
127916 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127918 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127919 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127920 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127921 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127922 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127924 -  ..
127925 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127926 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127927 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127929 -  ..
127930 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127931 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127932 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127933 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127935 -  ..
127936 - Blood pressure improved but poor 132 68 today, aligns with not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127937 - Naproxen yesterday, and not taking Mylanta yesterday, and heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127938 - good today, after hiking 17 miles yesterday on 181128. ref SDS 0 BG8J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127940 -  ..
127941 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127942 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127943 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127944 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127946 -  ..
127947 - Weight - 173 this morning after hiking 17 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127948 - yesterday on 181128, per above. ref SDS 0 VYTV  After hike weight 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127949 - so lost 5 pounds, per above. ref SDS 0 BG8J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127951 -  ..
127952 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127953 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127954 - normal.  Last night got up only 4 times.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127956 -  ..
127957 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127958 - Lunch - sandwich balogny tomato onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127959 - Dinner - macaroni cheese hamburger onion tuna brocolli squash                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127961 -  ..
127962 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127966 -         ..
127967 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127968 -  336.  181130 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127969 -               0820....BP HR..................................................... 124  72  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127970 -               0825....BP HR..................................................... 126  70  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127971 -               0820....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127972 -               0820... 20 17620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127973 -               0820... 80 102300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127974 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127975 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127976 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127977 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127978 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127979 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127980 -          * cr 1125....miles...........  20.0  37.00  306  567 minutes temp  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127981 -               1700....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127982 -               1715....BP HR..................................................... 105  69 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127983 -               1720....BP HR.....................................................  93  59  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127984 -               1750... 40 38900 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127985 -             1 0000... 80 102140 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127986 -             1 0000............ 10 11070  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127987 -             1 0000............ 10 10660  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127988 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127989 -               1830... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127990 -               0000... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127991 -               2030... 1000  311000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127992 -               2220... 80 102380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127994 -  ..
127995 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127996 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127997 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127999 -  ..
128000 - Bondi 6 Wide shoes - switched on 181128, from wearing Bondi 5 wide the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128001 - past year.  Excellent rebound energy drives faster pace.  Excellent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128002 - cushioning protects against metatarsalgia and prevents blisting - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128003 - today, for 1st time in over 12 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128005 -  ..
128006 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128007 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128008 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128009 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128010 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128011 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128012 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128013 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128014 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128015 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128017 -  ..
128018 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128020 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128021 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128022 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128023 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128024 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128026 -  ..
128027 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128028 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128029 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128031 -  ..
128032 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128033 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128034 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128035 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128037 -  ..
128038 - Blood pressure improved and good 124 72 today, aligns with not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128039 - Naproxen yesterday, and not taking Mylanta yesterday, and heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128040 - okay today, after hiking 0 miles yesterday on 181129. ref SDS 0 FR6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128041 - BP today, 93 59 good after hiking 20 miles. ref SDS 0 WRRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128043 -  ..
128044 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128045 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128046 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128047 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128049 -  ..
128050 - Weight - 174 this morning after hiking 0 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128051 - yesterday on 181129, per above. ref SDS 0 WRQR  After hiking 20 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128052 - weight 70; lost 4 pounds, per above. ref SDS 0 WRRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128054 -  ..
128055 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128056 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128057 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128058 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128059 -        181129....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128060 -        181130....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128062 -  ..
128063 - Pain medication - paused Naproxen 250 mg today on 181124, hike 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128064 - miles; Naproxen and ibuprofen increase blood pressure, see on 181101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128065 - above, ref SDS 0 XT6N; and naproxen increases LDL in lab, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128066 - on 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128067 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128068 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128069 - month or so, but benefits of PRP seem to be wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128070 - Acetaminophen 1000 mg causes intoxication that lowers HDL 30%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128071 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128072 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128073 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128074 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128075 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128076 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128077 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128078 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128079 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128080 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128081 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128082 - on 160101 0700, ref SDS 37 7F6O - was paused, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128083 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128086 -                                                    Pain Level   Day
128087 -         ..
128088 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128089 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128090 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128091 -        Knee left......Supartz on 181126.............   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128092 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128093 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128094 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128095 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128096 -        Tailor's Bunion left foot....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128097 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128098 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128099 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128100 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128101 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128102 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128103 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128104 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128105 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128106 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128107 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128109 -  ..
128110 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128111 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128112 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128113 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128114 - last night on 181129, per above. ref SDS 0 FR6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128116 -  ..
128117 - Legs and arms 6 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128118 - depleted, so took 1 Tramodal 50 mg pill in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128121 -  ..
128122 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128123 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128125 -  ..
128126 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128127 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128128 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128130 -  ..
128131 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128132 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128133 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128134 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128136 -  ..
128137 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128138 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128140 -  ..
128141 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128142 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128144 -  ..
128145 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128146 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128147 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128148 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128149 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128151 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128152 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128153 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128154 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128155 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128156 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128157 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128158 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128159 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128160 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128161 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128162 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128163 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128164 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128165 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128166 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128167 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128168 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128169 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128170 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128171 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128172 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128173 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128174 -        again today.................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128176 -  ..
128177 - Today, calluses edge both big toes did not apply liquid bandage; pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128178 - level 0 entire route for 20 mile hike wearing Hoka Bondi 6 Wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128179 - with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128181 -  ..
128182 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128183 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128184 - lotion applied on 181120.  Before hike applied liquid bandage.  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128185 - hike blister pain level 0 on left foot below big toe entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128186 - wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128188 -  ..
128189 - Left knee - pain level 2 starting hike for about 3 miles, then ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128190 - for rest of 20 mile hike, aligns with getting PRP on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128191 - ref SDS A8 0001, and Supartz injection on 181126 1030. ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128192 - Knee noticably swelled after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128194 -  ..
128195 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128196 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128197 - ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128199 -  ..
128200 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128202 -  ..
128203 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128204 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128205 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128206 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128207 - Pain level 2 several times during hike for short duration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128209 -  ..
128210 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128211 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128212 - good, excellent rebound energy with new Hoka Bondi 6 Wide shoes.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128213 - feel protected from blister injuries, there is no sliding.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128214 - pain level 2.  Time to 1.25 miles 17 minutes.  Shoes made it easy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128215 - increase pace on Clayton hiking concrete sidewalk.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128216 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128217 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128218 - hike against Eastbound traffic flow.  Continued faster pace wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128219 - Hoka Bondi 6 shoes.  Time mile 4.25 63 minutes - same as yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128220 - Continuing on Ygnacio Valley Road going West hiking well.  At mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128221 - pain level 0, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128222 - Road.  Good pace going 1 mile uphill.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128223 - flat ground.  Going down steep hill toward Rolling Woods Way.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128224 - corner and increased pace hiking .3 miles up steeper hill on Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128225 - Woods Way.  Slowed pace going downhill to Pine Hollow.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128226 - onto Pine Hollow and increased pace hiking 1 mile back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128227 - Valley Road.  Hiked West on Ygnacio Valley Road back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128228 - Road about 1 mile.  Feeling left foot Tailor's bunion, but decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128229 - turn corner onto Crystal Ranch Road and hiked 2nd 4-mile loop.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128230 - uphill on 2nd loop pain in left foot Tailor's bunion stopped.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128231 - 2nd loop, pain level 0, so did 3rd 4-mile loop.  After reaching corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128232 - of Ygnacio Valley Road and Crystal Ranch Road again, hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128233 - shallower hill to Cowell.  Turned corner and hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128234 - Treat.  Then hiked extra mile around Cuneo to Kaski to Cowell, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128235 - back to Cuneo for 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128237 -  ..
128238 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128239 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128240 - Dinner - lettuce tomato diced ham onion avocado asparagus mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128241 - cumcumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128243 -  ..
128244 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128248 -         ..
128249 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128250 -  337.  181201 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128251 -               0920....BP HR..................................................... 118  68  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128252 -               0925....BP HR..................................................... 130  71  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128253 -               0920....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128254 -               0920... 20 17620 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128255 -               0920... 80 102300 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128256 -               0000... Naproxen (Aleve) 1 pill 250  68700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128257 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128258 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128259 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128260 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128261 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128262 -          * cr 1125....miles...........  17.0  54.00  274  830 minutes temp  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128263 -               1630....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128264 -               1645....BP HR..................................................... 114  67  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128265 -               1650....BP HR.....................................................  98  56  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128266 -             1 0000... 40 38900 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128267 -               1700... 80 102140 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128268 -               1830............ 10 11080  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128269 -               1830............ 10 10670  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128270 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128271 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128272 -               0000... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128273 -               2030... 1000  311000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128274 -               2220... 80 102380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128276 -  ..
128277 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128278 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128279 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128281 -  ..
128282 - Bondi 6 Wide shoes - switched on 181128, from wearing Bondi 5 wide the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128283 - past year.  Excellent rebound energy drives faster pace.  Excellent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128284 - cushioning protects against metatarsalgia and prevents blisting - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128285 - today, for 1st time in over 12 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128287 -  ..
128288 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128289 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128290 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128291 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128292 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128293 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128294 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128295 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128296 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128297 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128299 -  ..
128300 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128302 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128303 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128304 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128305 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128306 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128308 -  ..
128309 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128310 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128311 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128313 -  ..
128314 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128315 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128316 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128317 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128319 -  ..
128320 - Blood pressure improved and good 118 68 today, aligns with not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128321 - Naproxen yesterday, and not taking Mylanta yesterday, and heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128322 - okay today, ref SDS 0 YR3I, after hiking 20 miles yesterday on 181130.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128323 - ref SDS 0 WRRS  BP today, 100 56 good after hiking 17 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128325 -  ..
128326 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128327 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128328 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128329 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128331 -  ..
128332 - Weight - 173 this morning after hiking 20 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128333 - yesterday on 181130, per above. ref SDS 0 WTYS  After hiking 20 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128334 - weight 170; lost 3 pounds, per above. ref SDS 0 YR3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128336 -  ..
128337 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128338 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128339 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128340 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128341 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128342 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128344 -  ..
128345 - Pain medication - paused Naproxen 250 mg today on 181124, hike 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128346 - miles; Naproxen and ibuprofen increase blood pressure, see on 181101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128347 - above, ref SDS 0 XT6N; and naproxen increases LDL in lab, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128348 - on 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128349 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128350 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128351 - month or so, but benefits of PRP seem to be wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128352 - Acetaminophen 1000 mg causes intoxication that lowers HDL 30%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128353 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128354 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128355 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128356 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128357 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128358 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128359 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128360 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128361 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128362 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128363 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128364 - on 160101 0700, ref SDS 37 7F6O - was paused, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128365 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128368 -                                                    Pain Level   Day
128369 -         ..
128370 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128371 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128372 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128373 -        Knee left......Supartz on 181126.............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128374 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128375 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128376 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128377 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128378 -        Tailor's Bunion left foot....................   3         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128379 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128380 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128381 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128382 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128383 -        Metatarsalgia right foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128384 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128385 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128386 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128387 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128388 -        Burning sensation right foot.................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128389 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128391 -  ..
128392 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128393 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128394 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128395 - no evident peripheral neuropathy in right foot after taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128396 - last night on 181129, per above. ref SDS 0 FR6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128398 -  ..
128399 - Legs and arms 3 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128400 - depleted, so took 1 Tramodal 50 mg pill in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128402 -  ..
128403 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128404 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128406 -  ..
128407 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128408 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128409 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128411 -  ..
128412 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128413 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128414 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128415 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128417 -  ..
128418 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128419 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128421 -  ..
128422 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128423 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128425 -  ..
128426 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128427 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128428 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128429 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128430 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128432 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128433 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128434 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128435 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128436 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128437 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128438 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128439 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128440 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128441 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128442 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128443 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128444 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128445 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128446 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128447 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128448 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128449 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128450 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128451 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128452 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128453 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128454 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128455 -        again today.................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128457 -  ..
128458 - Today, calluses edge both big toes did not apply liquid bandage; pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128459 - level 2 last 2 miles, prevented hiking last 3 miles for 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128460 - Nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128462 -  ..
128463 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128464 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128465 - lotion applied on 181120.  Before hike applied liquid bandage.  During                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128466 - hike blister pain level 0 on left foot below big toe entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128467 - wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128469 -  ..
128470 - Left knee - pain level 2 starting hike for about 3 miles, then ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128471 - for rest of 20 mile hike, aligns with getting PRP on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128472 - ref SDS A8 0001, and Supartz injection on 181126 1030. ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128473 - Knee noticably swelled after hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128475 -  ..
128476 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128477 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128478 - ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128480 -  ..
128481 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128483 -  ..
128484 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128485 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128486 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128487 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128488 - Pain level 2 several times during hike for short duration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128490 -  ..
128491 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128492 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128493 - good, excellent rebound energy with new Hoka Bondi 6 Wide shoes.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128494 - feel protected from blister injuries, there is no sliding.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128495 - pain level 2.  Time to 1.25 miles 17 minutes.  Shoes made it easy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128496 - increase pace on Clayton hiking concrete sidewalk.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128497 - Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128498 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128499 - hike against Eastbound traffic flow.  Continued faster pace wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128500 - Hoka Bondi 6 shoes.  Time mile 4.25 63 minutes - same as yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128501 - Continuing on Ygnacio Valley Road going West hiking well.  At mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128502 - pain level 0, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128503 - Road.  Good pace going 1 mile uphill.  At summit maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128504 - flat ground.  Faster than usual going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128505 - Woods Way.  Turned corner and increased pace hiking .3 miles up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128506 - steeper hill on Rolling Woods Way.  Slowed pace going downhill to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128507 - Hollow.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128508 - mile back to Ygnacio Valley Road.  Hiked West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128509 - back to Crystal Ranch Road about 1 mile.  Feeling left foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128510 - bunion.  Right foot metatarsalgia pain level 2 so slowed pace, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128511 - pain subsided to pain level 0.  Decided to turn corner onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128512 - Ranch Road and hiked 2nd 4-mile loop.  Going uphill on 2nd loop pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128513 - in left foot Tailor's bunion stopped.  Metatarsalgia recurred, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128514 - only for about 100 yards after slowing pace.  After 2nd loop, Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128515 - bunion left foot pain level 2, did not hike 3rd 4-mile loop.  Reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128516 - corner of Ygnacio Valley Road and Crystal Ranch Road again, hiked up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128517 - shallower hill to Cowell.  Turned corner and hiked 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128518 - Treat.  Then hiked extra mile around Cuneo to Kaski to Cowell.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128519 - another 1 mile loop Cuneo to kaski..., and back to Cuneo for 17 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128520 - hike.  This leaves 19 miles tomorrow for 400 mile month.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128522 -  ..
128523 - Breakfast - cheerios chia seeds milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128524 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128525 - Dinner - lettuce tomato diced ham onion tuna avocado asparagus mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128526 - cumcumber, triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128528 -  ..
128529 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128534 -         ..
128535 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128536 -  338.  181202 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128537 -               0800....BP HR..................................................... 132  72  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128538 -               0805....BP HR..................................................... 126  74  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128539 -               0810....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128540 -               0810... 20 17640 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128541 -               0810... 80 102480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128542 -               0810... Naproxen (Aleve) 2 pill 250  69200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128543 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128544 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128545 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128546 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128547 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128548 -          * cr 1040....miles...........  21.0  75.00  325  830 minutes temp  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128549 -               1630....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128550 -               1645....BP HR..................................................... 104  51  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128551 -               1650....BP HR..................................................... 106  51  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128552 -               1700... 40 38900 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128553 -             1 0000... 80 102480 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128554 -             1 0000............ 10 11080  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128555 -             1 0000............ 10 10670  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128556 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128557 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128558 -               0000... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128559 -               2010... 1000  312000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128560 -               2250... 80 102560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128562 -  ..
128563 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128564 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128565 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128567 -  ..
128568 - Bondi 6 Wide shoes color Alloy / Steel Gray - switched on 181128, from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128569 - wearing Bondi 5 wide the past year, per above. ref SDS 0 5G5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128570 - Excellent rebound energy drives faster pace.  Excellent cushioning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128571 - protects against metatarsalgia, and prevents Tailor's Bunion injuries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128572 - and blisting - none today, for 1st time in over 12 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128574 -            [...below on 181206 in this case study on 180101 0820,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128575 -            wearing 2nd pair black color Bondi 6 wide shows has less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128576 -            rebound energy and less cushioning protection than 1st pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128577 -            color Alloy / Steel Gray. ref SDS 0 XTUV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128579 -  ..
128580 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128581 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128582 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128583 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128584 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128585 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128586 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128587 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128588 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128589 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128591 -  ..
128592 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128594 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128595 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128596 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128597 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128598 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128600 -  ..
128601 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128602 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128603 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128605 -  ..
128606 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128607 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128608 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128609 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128611 -  ..
128612 - Blood pressure okay 126 74 today, aligns with not taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128613 - yesterday, and not taking Mylanta yesterday, and heart rate okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128614 - today, ref SDS 0 L16H, after hiking 17 miles yesterday on 181201.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128615 - ref SDS 0 YR3I  BP today, 104 51 good after hiking 21 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128617 -  ..
128618 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128619 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128620 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128621 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128623 -  ..
128624 - Weight - 174 this morning after hiking 17 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128625 - yesterday on 181130, per above. ref SDS 0 WWWS  Today, after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128626 - miles, weight 170; lost 4 pounds, per above. ref SDS 0 L16H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128628 -  ..
128629 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128630 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128631 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128632 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128633 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128634 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128635 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128636 -        181203....Pantoprazol.........                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128638 -  ..
128639 - Pain medication - Naproxen 250 mg 2 pills today on 181202, hike 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128640 - miles for >400 miles for month.  Naproxen and ibuprofen increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128641 - pressure, see on 181101, above, ref SDS 0 XT6N; and naproxen increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128642 - LDL in lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128643 - on 180824 1515, ref SDS A8 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128644 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128645 - injections for a month or so, but benefits of PRP seem to be wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128646 - off.  Acetaminophen 1000 mg causes intoxication that lowers HDL 30%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128647 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128648 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128649 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128650 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128651 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128652 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128653 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128654 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128655 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128656 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128657 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128658 - on 160101 0700, ref SDS 37 7F6O - was paused, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128659 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128662 -                                                    Pain Level   Day
128663 -         ..
128664 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128665 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128666 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128667 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128668 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128669 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128670 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128671 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128672 -        Tailor's Bunion left foot....................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128673 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128674 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128675 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128676 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128677 -        Metatarsalgia right foot.....................   2          1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128678 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128679 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128680 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128681 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128682 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128683 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128685 -  ..
128686 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128687 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128688 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128689 - no evident peripheral neuropathy in right foot entire hike. and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128690 - taking statins last night on 181201, per above. ref SDS 0 YR3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128692 -  ..
128693 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128694 - depleted, so took 1 Tramodal 50 mg pill in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128696 -  ..
128697 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128698 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128700 -  ..
128701 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128702 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128703 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128705 -  ..
128706 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128707 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128708 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128709 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128711 -  ..
128712 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128713 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128715 -  ..
128716 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128717 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128719 -  ..
128720 - Right foot metatarsalgia - pain level 3 couple times for less than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128721 - 100 feet, aligns with PRP treatment on 180824, beginning to wear out,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128722 - and taking 2 Naproxen 250 mg pills before starting hike this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128723 - and wearing Hoka Bondi 6 shoes with superior cushioning, wor past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128724 - days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128727 -  ..
128728 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128729 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128730 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128731 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128732 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128734 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128735 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128736 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128737 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128738 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128739 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128740 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128741 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128742 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128743 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128744 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128745 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128746 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128747 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128748 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128749 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128750 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128751 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128752 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128753 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128754 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128755 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128756 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128757 -        again today.................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128759 -  ..
128760 - Today, calluses edge both big toes did not apply liquid bandage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128761 - Nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128763 -  ..
128764 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128765 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128766 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128767 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128768 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128770 -  ..
128771 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128772 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128773 - ref SDS B8 BK6H  Took 2 Naproxen 250 mg pills before hike this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128774 - morning, per above. ref SDS 0 L16H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128776 -  ..
128777 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128778 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128779 - ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128781 -  ..
128782 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128784 -  ..
128785 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128786 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128787 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128788 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  New                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128789 - Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128790 - feet.  Breakthrough pain level 2 several times during hike for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128791 - duration - not enough to prevent hiking, after taking 2 Naproxen 250                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128792 - mg pills, per above. ref SDS 0 L16H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128794 -  ..
128795 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128796 - ref SDS 22 HG3F  Did not do extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128797 - energy good, excellent rebound energy with new Hoka Bondi 6 Wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128798 - color Alloy / Steel Gray  Left knee pain level 0 after Supartz                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128799 - injection on 181126 1030, ref SDS B8 BK6H, and taking 2 Napoxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128800 - pills this morning, per above. ref SDS 0 L16H  Time to 1.25 miles 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128801 - minutes.  Slowed pace on Clayton hiking concrete sidewalk - felt some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128802 - breakthrough pain in feet.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128803 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128804 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128805 - Eastbound traffic flow.  Time mile 4.25 67 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128806 - Ygnacio Valley Road going West hiking well.  At mile 5 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128807 - so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128808 - pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128809 - ground.  Faster than usual going down steep hill toward Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128810 - Way.  Turned corner and increased pace hiking .3 miles up steeper hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128811 - on Rolling Woods Way.  Slowed pace going downhill to Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128812 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128813 - to Ygnacio Valley Road.  Hiked West on Ygnacio Valley Road back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128814 - Crystal Ranch Road about 1 mile.  Feeling breakthrough pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128815 - left foot Tailor's bunion.  Right foot metatarsalgia pain level 2 so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128816 - slowed pace, and pain subsided to pain level 0.  Decided to turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128817 - corner onto Crystal Ranch Road and hiked 2nd 4-mile loop.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128818 - uphill on 2nd loop pain in left foot Tailor's bunion stopped.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128819 - Metatarsalgia recurred, but only for about 100 yards after slowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128820 - pace.  Felt slight fatigue going uphill, but maintained pace.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128821 - resolved on reaching summit, and continuing on flat ground about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128822 - miles.  Turned corner onto Rolling Woods Way and increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128823 - uphill .3 mile, rest of hike normal back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128824 - Decided to turn corner again and do 3rd 4-mile loop in order to reach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128825 - 400 miles for month, since this mark has never been reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128826 - previously.  Again felt significant fatigue going 1 mile uphill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128827 - 3rd time today.  Considered stopping and going back, but was able to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128828 - reach summit.  Recovered going .5 mile on flat roadway.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128829 - and hiked .3 mile up steeper hill for 3rd time.  Similarly, felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128830 - fatigued, but did not consider stopping, because knew from experience                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128831 - could reach the summit.  Report fatigue today, because for past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128832 - months, have not been fatigued like today, even doing 3 and 4 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128833 - loops.  Doing 1st 4-mile loop considered going for 4 loops, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128834 - abandoned this idea after 3rd 4-mile loop, which was very difficult.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128835 - On reaching Crystal Ranch Road, continued uphill Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128836 - past Cowell to summit.  This is shallower than going up Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128837 - Road, so handled this well.  Contined downhill 2 miles to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128838 - Called Kathy after turning onto Oak Grove.  Hiked another mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128839 - Treat.  Kathy drove us home for 21 mile hike, 2 miles more than needed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128840 - to make 400 miles for the month.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128842 -  ..
128843 - Breakfast - cheerios chia seeds milk taken with Naproxen pain medication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128844 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128845 - Dinner - pork chops rice squash, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128847 -  ..
128848 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128852 -         ..
128853 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128854 -  339.  181203 0600..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128855 -               0620....BP HR..................................................... 117  62  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128856 -               0625....BP HR..................................................... 116  66  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128857 -               0630....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128858 -               0830... 20 17660 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128859 -               0830... 80 102640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128860 -               0000... Naproxen (Aleve) 2 pill 250  69200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128861 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128862 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128863 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128864 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128865 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128866 -             1 0000... 40 38900 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128867 -               1700... 80 102720 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128868 -               1830............ 10 11090  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128869 -               1830............ 10 10680  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128870 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128871 -               1840... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128872 -               0000... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128873 -               1950... 1000  313000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128874 -               2220... 80 102800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128876 -  ..
128877 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128878 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128879 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128881 -  ..
128882 - Bondi 6 Wide shoes - switched on 181128, from wearing Bondi 5 wide the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128883 - past year.  Excellent rebound energy drives faster pace.  Excellent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128884 - cushioning protects against metatarsalgia and prevents blisting - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128885 - today, for 1st time in over 12 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128887 -  ..
128888 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128889 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128890 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128891 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128892 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128893 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128894 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128895 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128896 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128897 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128899 -  ..
128900 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128902 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128903 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128904 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128905 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128906 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128908 -  ..
128909 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128910 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128911 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128913 -  ..
128914 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128915 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128916 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128917 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128919 -  ..
128920 - Blood pressure okay 117 62 today, conflicts with taking Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128921 - yesterday, and not taking Mylanta yesterday, and heart rate okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128922 - today, ref SDS 0 L16H, after hiking 21 miles yesterday on 181202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128923 - ref SDS 0 L16H  BP today, 104 51 good after hiking 21 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128925 -  ..
128926 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128927 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128928 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128929 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128931 -  ..
128932 - Weight - 174 this morning after hiking 21 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128933 - yesterday on 181202, per above. ref SDS 0 XPVV  Today, after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128934 - miles, weight 170; lost 4 pounds, per above. ref SDS 0 L16H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128936 -  ..
128937 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128938 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128939 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128940 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128941 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128942 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128943 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128944 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128945 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128947 -  ..
128948 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128949 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128950 - Dinner - rice hamburger macaroni cheese squash aspargus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128952 -  ..
128953 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128958 -         ..
128959 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128960 -  340.  181204 0530..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128961 -               0520....BP HR..................................................... 125  71  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128962 -               0525....BP HR..................................................... 133  70  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128963 -               0530....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128964 -               0530... 20 17680 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128965 -               0530... 80 102880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128966 -               0000... Naproxen (Aleve) 2 pill 250  69200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128967 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128968 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128969 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128970 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128971 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128972 -               1700... 40 38940 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128973 -             1 0000... 80 102720 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128974 -             1 0000............ 10 11090  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128975 -             1 0000............ 10 10680  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128976 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128977 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128978 -               1940... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128979 -               2030... 1000  314000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128980 -               2220... 80 102960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128982 -  ..
128983 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128984 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128985 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128987 -  ..
128988 - Bondi 6 Wide shoes - switched on 181128, from wearing Bondi 5 wide the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128989 - past year.  Excellent rebound energy drives faster pace.  Excellent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128990 - cushioning protects against metatarsalgia and prevents blisting - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128991 - today, for 1st time in over 12 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128993 -  ..
128994 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128995 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128996 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128997 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128998 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128999 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129000 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129001 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129002 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129003 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129005 -  ..
129006 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129008 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129009 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129010 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129011 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129012 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129014 -  ..
129015 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129016 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129017 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129019 -  ..
129020 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129021 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129022 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129023 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129025 -  ..
129026 - Blood pressure okay 125 71 today, ref SDS 0 XRQT, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129027 - taking Naproxen yesterday, and not taking Mylanta yesterday, and heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129028 - rate okay today, after hiking 0 miles yesterday on 181203. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129029 - VK3J  BP today, 104 51 good after hiking 21 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129031 -  ..
129032 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129033 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129034 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129035 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129037 -  ..
129038 - Weight - 173 this morning after hiking 0 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129039 - yesterday on 181203, per above. ref SDS 0 XRPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129041 -  ..
129042 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129043 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129044 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129045 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129046 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129047 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129048 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129049 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129050 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129053 -  ..
129054 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129055 - Lunch - eggs toast triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129056 - Dinner - rice meatloaf asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129058 -  ..
129059 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129063 -         ..
129064 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129065 -  341.  181205 0300..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129066 -               0310....BP HR..................................................... 138  71  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129067 -               0315....BP HR..................................................... 121  67  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129068 -               0320....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129069 -               0320... 20 17700 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129070 -               0320... 80 103040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129071 -               0000... Naproxen (Aleve) 2 pill 250  69200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129072 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129073 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129074 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129075 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129076 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129077 -             1 0000... 40 38940 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129078 -               1700... 80 103120 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129079 -               1830............ 10 11100  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129080 -               1830............ 10 10690  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129081 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129082 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129083 -               0000... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129084 -               2030... 1000  315000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129085 -               2220... 80 103200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129087 -  ..
129088 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129089 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129090 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129092 -  ..
129093 - Bondi 6 Wide shoes - switched on 181128, from wearing Bondi 5 wide the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129094 - past year.  Excellent rebound energy drives faster pace.  Excellent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129095 - cushioning protects against metatarsalgia and prevents blisting - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129096 - today, for 1st time in over 12 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129098 -  ..
129099 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129100 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129101 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129102 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129103 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129104 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129105 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129106 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129107 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129108 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129110 -  ..
129111 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129113 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129114 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129115 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129116 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129117 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129119 -  ..
129120 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129121 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129122 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129124 -  ..
129125 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129126 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129127 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129128 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129130 -  ..
129131 - Blood pressure okay 121 67 today, ref SDS 0 XSRQ, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129132 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129133 - yesterday, and heart rate okay today, after hiking 0 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129134 - on 181204. ref SDS 0 XRQT  BP today, 104 51 good after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129135 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129137 -  ..
129138 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129139 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129140 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129141 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129143 -  ..
129144 - Weight - 173 this morning after hiking 0 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129145 - yesterday on 181204, per above. ref SDS 0 XUQR  Today, after hiking 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129146 - miles, weight 170; lost 4 pounds, per above. ref SDS 0 XRQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129148 -  ..
129149 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129150 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129151 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129152 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129153 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129154 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129155 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129156 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129157 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129158 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129161 -  ..
129162 - Breakfast - eggs hash browns sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129163 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129164 - Dinner - lettuce onion tomato avocado asparagus mushrooms cumbumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129166 -  ..
129167 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129171 -         ..
129172 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129173 -  342.  181206 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129174 -               0910....BP HR..................................................... 132  75  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129175 -               0915....BP HR..................................................... 124  72  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129176 -               0920....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129177 -               0920... 20 17720 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129178 -               0920... 80 103280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129179 -               0000... Naproxen (Aleve) 2 pill 250  69200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129180 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129181 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129182 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129183 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129184 -         **    0000....pushups......       40  2940 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129185 -          * cr 1030....miles...........  20.0  20.00  308  308 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129186 -               1540....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129187 -               1550....BP HR.....................................................  98  66 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129188 -               1555....BP HR..................................................... 108  69 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129189 -               1700... 40 38980 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129190 -             1 0000... 80 103120 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129191 -             1 0000............ 10 11100  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129192 -             1 0000............ 10 10690  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129193 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129194 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129195 -               1940... 40 17620 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129196 -               2030... 1000  316000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129197 -               2220... 80 103360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129199 -  ..
129200 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129201 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129202 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129204 -  ..
129205 - Bondi 6 Wide shoes color black - today wearing 2nd pair selected from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129206 - 5 pair received today, on 181206 0837. ref SDS C3 SM4M  Seem to have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129207 - less rebound energy, and less cushioning protection against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129208 - metatarsalgia and blisting injuries than wearing 1st pair Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129209 - shoes color Alloy / Steel Gray worn for prior hike on 181202, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129210 - above. ref SDS 0 WXRU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129212 -            [...below on 181207, shown in this case study on 180101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129213 -            0820, switched back to 1st pair Bondi 6 wide shoes color                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129214 -            color Alloy / Steel Gray, to verify better cushioning and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129215 -            protection against injuries, but forgot to transfer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129216 -            orthotic inserts, so had similar injuries and had to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129217 -            hike at 16 miles again, like wearing Bondi 6 black shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129218 -            today. ref SDS 0 FQ5L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129220 -  ..
129221 - ** Pushups - On 181113 pausing military pushups again due to recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129222 - injury to muscle along spinal column below neck, reported during hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129223 - yesterday, per above. ref SDS 0 SXYV  On 181104 resumed military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129224 - pushups again after pausing on 181102, felt slight pain in back after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129225 - 1st set 20 pushups, so paused again after previously resuming on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129226 - 181028, doing military pushups with feet elevated on chair, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129227 - pausing again on 181021.  Tried them on 181020, ref SDS 0 HN5K, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129228 - time since 181007, per above. ref SDS 0 VW5N  No neck pain yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129229 - so tried again today on 181028.  No neck pain during hike today, nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129230 - afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129232 -  ..
129233 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129235 -               181212 1600................. pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129236 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129237 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129238 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129239 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129240 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129242 -  ..
129243 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129244 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129245 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129247 -  ..
129248 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129249 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129250 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129251 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129253 -  ..
129254 - Blood pressure okay 124 72 today, ref SDS 0 XTRW, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129255 - taking Naproxen yesterday, and not taking Mylanta yesterday, and heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129256 - rate okay today, after hiking 0 miles yesterday on 181205. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129257 - XSRQ BP today, 98 66 good after hiking 20 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129259 -  ..
129260 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129261 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129262 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129263 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129265 -  ..
129266 - Weight - 174 this morning after hiking 0 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129267 - yesterday on 181205, per above. ref SDS 0 XVRQ  Today, after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129268 - miles, weight 168; lost 6 pounds, per above. ref SDS 0 XTRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129270 -  ..
129271 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129272 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129273 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129274 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129275 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129276 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129277 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129278 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129279 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129280 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129281 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129283 -  ..
129284 - Pain medication - paused Naproxen 250 mg today on 181203, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129285 - 2 pills yesterday, to facilitate hiking 21 miles. ref SDS 0 WXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129286 - Naproxen and ibuprofen increase blood pressure, see on 181101, above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129287 - ref SDS 0 XT6N; and naproxen increases LDL in lab, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129288 - 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129289 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129290 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129291 - month or so, but benefits of PRP seem to be wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129292 - Acetaminophen 1000 mg causes intoxication that lowers HDL 30%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129293 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129294 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129295 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129296 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129297 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129298 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129299 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129300 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129301 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129302 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129303 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129304 - on 160101 0700, ref SDS 37 7F6O - was paused, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129305 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129308 -                                                    Pain Level   Day
129309 -         ..
129310 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129311 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129312 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129313 -        Knee left......Supartz on 181126.............   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129314 -        Knee right.....Supartz on 181126.............   2          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129315 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129316 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129317 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129318 -        Tailor's Bunion left foot....................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129319 -        Tailor's Bunion right foot...................   1          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129320 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129321 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129322 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129323 -        Metatarsalgia right foot.....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129324 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129325 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129326 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129327 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129328 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129329 -        Peripheral neruopathy right foot.............   0          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129331 -  ..
129332 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129333 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129334 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129335 - evident peripheral neuropathy in right foot various times, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129336 - taking statins last night on 181205, per above. ref SDS 0 XSRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129338 -  ..
129339 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129340 - depleted, so took 1 Tramodal 50 mg pill in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129342 -  ..
129343 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129344 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129346 -  ..
129347 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129348 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129349 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129351 -  ..
129352 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129353 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129354 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129355 - foot pain level 0 entire route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129357 -  ..
129358 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129359 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129361 -  ..
129362 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129363 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129365 -  ..
129366 - Right foot metatarsalgia - pain level 3 couple times for less than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129367 - 100 feet, aligns with PRP treatment on 180824, beginning to wear out,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129368 - and taking 2 Naproxen 250 mg pills before starting hike this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129369 - and wearing Hoka Bondi 6 shoes with superior cushioning, wor past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129370 - days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129373 -  ..
129374 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129375 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129376 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129377 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129378 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129380 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129381 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129382 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129383 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129384 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129385 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129386 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129387 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129388 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129389 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129390 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129391 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129392 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129393 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129394 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129395 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129396 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129397 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129398 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129399 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129400 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129401 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129402 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129403 -        again today.................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129405 -  ..
129406 - Today, calluses edge both big toes did not apply liquid bandage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129407 - Nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129409 -  ..
129410 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129411 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129412 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129413 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129414 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129416 -  ..
129417 - Left knee - pain level 2 about 15% of hike, after treatment with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129418 - on 180824 1515. ref SDS A8 0001  Supartz 2nd injection on 181203 1010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129419 - ref SDS C2 CJ98 - was able to hike 20 miles without 2 Naproxen pills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129421 -  ..
129422 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129423 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129424 - ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129426 -  ..
129427 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129429 -  ..
129430 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129431 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129432 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129433 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  New                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129434 - Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129435 - feet.  Breakthrough pain level 2 several times during hike for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129436 - duration - not enough to prevent hiking 20 miles, and without taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129437 - Naproxen 250 mg pills needed this past Sunday to reach 400 miles for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129438 - November, per above. ref SDS 0 L16H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129440 -  ..
129441 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129442 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129443 - good, good rebound energy with new Hoka Bondi 6 Wide shoes color                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129444 - black, but less than with the first pair color Alloy / Steel Gray                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129445 - tried last Sunday, per above. ref SDS 0 XPST  Left knee pain level 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129446 - after 2nd Supartz injection on 181203 1010, ref SDS C2 CJ98, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129447 - despite not taking 2 Napoxen 250 mg pills this morning, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129448 - ref SDS 0 XTRW  Time to 1.25 miles 17 minutes.  Slowed pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129449 - hiking concrete sidewalk, because new black Hoka Bondi 6 Wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129450 - seem less comfortable than the 1st pair.  Turned corner onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129451 - Valley Road at mile 3.25.  Hiked to mile 3.5, then switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129452 - asphault roadway.  About mile 3.8 crossed from North to South Side to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129453 - hike against Eastbound traffic flow.  Time mile 4.25 65 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129454 - Continuing on Ygnacio Valley Road going West hiking well, but feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129455 - breakthrough pain level 2 left foot Tailor's Bunion, also some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129456 - peripehral neruopathy right foot, but both subsided within 200 yards.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129457 - At mile 5 pain level 0, so turned corner and hiked 4-mile loop on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129458 - Crystal Ranch Road.  Good pace going 1 mile uphill.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129459 - maintained pace on flat ground.  Normal pace going down steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129460 - toward Rolling Woods Way.  Turned corner and increased pace hiking .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129461 - miles up steeper hill and breathing through nose all the way on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129462 - Rolling Woods Way.  Slowed pace going downhill to Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129463 - corner onto Pine Hollow and increased pace hiking 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129464 - Ygnacio Valley Road.  Hiked West on Ygnacio Valley Road back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129465 - Crystal Ranch Road about 1 mile.  Feeling breakthrough pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129466 - left foot Tailor's bunion.  Right foot metatarsalgia pain level 2 so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129467 - slowed pace, and pain subsided to pain level 0.  Decided to turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129468 - corner onto Crystal Ranch Road and hiked 2nd 4-mile loop.  Going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129469 - uphill on 2nd loop pain in left foot Tailor's bunion stopped.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129470 - Metatarsalgia recurred, but only for about 100 yards after slowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129471 - pace.  Felt slight fatigue going uphill, but maintained pace.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129472 - resolved on reaching summit, and continuing on flat ground about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129473 - miles.  Turned corner onto Rolling Woods Way and increased pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129474 - uphill .3 mile.  Rest of hike normal back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129475 - After 2nd loop, on reaching Crystal Ranch Road, continued uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129476 - Ygnacio Valley Road past Cowell to summit.  This is shallower than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129477 - going up Crystal Ranch Road, so handled this well.  Continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129478 - 2 miles to Oak Grove.  Hiked another mile Oak Grove to Treat.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129479 - corner and hiked .5 miles then increased pace going uphill on Treat to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129480 - Cuneo.  Hiked final 1 mile loop and returned home for 20 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129482 -  ..
129483 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129484 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129485 - Dinner - roast beef cut into very small pieces for swallowing carrots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129486 - gravy potatoes celery onion rice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129488 -  ..
129489 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129494 -         ..
129495 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129496 -  343.  181207 0900..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129497 -               0950....BP HR..................................................... 128  67  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129498 -               0955....BP HR..................................................... 130  70  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129499 -               1000....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129500 -               1000... 20 17740 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129501 -               1000... 80 103440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129502 -               0000... Naproxen (Aleve) 2 pill 250  69200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129503 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129504 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129505 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129506 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129507 -         **    1030....pushups......       40  2980 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129508 -               1035....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129509 -          * cr 1110....miles...........  16.0  36.00  246  554 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129510 -               1530....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129511 -               1550....BP HR..................................................... 122  63  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129512 -               1555....BP HR..................................................... 133  70  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129513 -             1 0000... 40 38980 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129514 -               1650... 80 103520 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129515 -               1830............ 10 11110  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129516 -               1830............ 10 10700  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129517 -               1840....Tramadol 50  600                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129518 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129519 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129520 -               2140... 40 17700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129521 -               2030... 1000  317000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129522 -               2220... 80 103600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129524 -  ..
129525 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129526 - On 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129527 - as part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129529 -  ..
129530 - Bondi 6 Wide shoes color Alloy / Steel Gray - today switched back from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129531 - wearing 2nd pair Bondi 6 wide color black tried yesterday, However,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129532 - forgot to install Lynn Flex heel cushion and Satallite Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129533 - inserts.  As result, suffered similar feet pain to wearing Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129534 - wide color black shoes that occurred yesterday, per above, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129535 - XTUV, so ended hike at 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129537 -  ..
129538 - ** Pushups - today on 181207, resumed after pausing on 181113,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129539 - military pushups again due to recurrent injury to muscle along spinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129540 - column below neck, reported during hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129541 - ref SDS 0 SXYV  On 181104 resumed military pushups again after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129542 - on 181102, felt slight pain in back after 1st set 20 pushups, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129543 - paused again after previously resuming on 181028, doing military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129544 - pushups with feet elevated on chair, after pausing again on 181021.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129545 - Tried them on 181020, ref SDS 0 HN5K, first time since 181007, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129546 - above. ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129547 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129549 -  ..
129550 - Pullups - today on 181207, starting just half pullups with feet on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129551 - ground using desk for pullup bar, so just half weight. ref SDS 0 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129553 -  ..
129554 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129556 -               181212 1600................. pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129557 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129558 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129559 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129560 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129561 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129563 -  ..
129564 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129565 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129566 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129568 -  ..
129569 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129570 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129571 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129572 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129574 -  ..
129575 - Blood pressure okay 128 67 today, ref SDS 0 1T6N, little hither today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129576 - aligns with not taking Naproxen yesterday, but taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129577 - yesterday, and heart rate okay today, after hiking 20 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129578 - on 181205. ref SDS 0 XTRW  BP today, 122 63, okay after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129579 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129581 -  ..
129582 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129583 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129584 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129585 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129587 -  ..
129588 - Weight - 174 this morning after hiking 20 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129589 - yesterday on 181205, per above. ref SDS 0 XWRY  Today, after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129590 - miles, weight 170; lost 4 pounds, per above. ref SDS 0 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129592 -  ..
129593 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129594 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129595 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129596 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129597 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129598 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129599 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129600 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129601 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129602 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129603 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129604 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129606 -  ..
129607 - Pain medication - paused Naproxen 250 mg today on 181203, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129608 - 2 pills yesterday, to facilitate hiking 21 miles. ref SDS 0 WXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129609 - Naproxen and ibuprofen increase blood pressure, see on 181101, above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129610 - ref SDS 0 XT6N; and naproxen increases LDL in lab, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129611 - 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129612 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129613 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129614 - month or so, but benefits of PRP seem to be wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129615 - Acetaminophen 1000 mg causes intoxication that lowers HDL 30%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129616 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129617 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129618 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129619 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129620 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129621 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129622 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129623 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129624 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129625 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129626 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129627 - on 160101 0700, ref SDS 37 7F6O - was paused, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129628 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129631 -                                                    Pain Level   Day
129632 -         ..
129633 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129634 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129635 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129636 -        Knee left......Supartz on 181126.............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129637 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129638 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129639 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129640 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129641 -        Tailor's Bunion left foot....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129642 -        Tailor's Bunion right foot...................   2          7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129643 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129644 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129645 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129646 -        Metatarsalgia right foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129647 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129648 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129649 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129650 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129651 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129652 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129654 -  ..
129655 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129656 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129657 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129658 - evident peripheral neuropathy in right foot various times, and after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129659 - not taking statins last night on 181206, per above. ref SDS 0 XTRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129661 -  ..
129662 - Legs and arms 3 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129663 - depleted, so took 1 Tramodal 50 mg pill in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129665 -  ..
129666 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129667 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129669 -  ..
129670 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129671 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129672 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129674 -  ..
129675 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129676 - On-the-Run shoe store; used set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129677 - reported on 171229 1010. ref SDS 76 JI6K  Actually, forgot to install                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129678 - the orthotic inserts in the shoes worn today.  Had pain at mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129679 - so ended hike at mile 16.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129681 -  ..
129682 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129683 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129685 -  ..
129686 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129687 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129689 -  ..
129690 - Right foot metatarsalgia - pain level 3 couple times for less than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129691 - 100 feet, aligns with PRP treatment on 180824, beginning to wear out,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129692 - and taking 2 Naproxen 250 mg pills before starting hike this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129693 - and wearing Hoka Bondi 6 shoes with superior cushioning, wor past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129694 - days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129697 -  ..
129698 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129699 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129700 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129701 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129702 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129704 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129705 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129706 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129707 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129708 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129709 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129710 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129711 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129712 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129713 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129714 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129715 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129716 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129717 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129718 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129719 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129720 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129721 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129722 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129723 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129724 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129725 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129726 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129727 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129728 -        again today.................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129730 -  ..
129731 - Today, calluses edge both big toes did not apply liquid bandage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129732 - Nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129734 -  ..
129735 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129736 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129737 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129738 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129739 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129741 -  ..
129742 - Left knee - pain level 2 about 15% of hike, after treatment with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129743 - on 180824 1515. ref SDS A8 0001  Supartz 2nd injection on 181203 1010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129744 - ref SDS C2 CJ98 - was able to hike 20 miles without 2 Naproxen pills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129746 -  ..
129747 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129748 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129749 - ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129751 -  ..
129752 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129754 -  ..
129755 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129756 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129757 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129758 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  New                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129759 - Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129760 - feet.  Breakthrough pain level 2 several times during hike for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129761 - duration - not enough to prevent hiking 20 miles, and without taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129762 - Naproxen 250 mg pills needed this past Sunday to reach 400 miles for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129763 - November, per above. ref SDS 0 L16H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129765 -  ..
129766 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129767 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129768 - good, rebound energy less wearing 1st pair Bondi 6 wide shoes color                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129769 - color Alloy / Steel Gray, similar to wearing color black shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129770 - yesterday, per above. ref SDS 0 XSUX - disappointing; but, after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129771 - discovered failed to install Satallite Elite orthotic inserts.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129772 - made entire hike difficult.  Left knee pain level 0 after 2nd Supartz                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129773 - injection on 181203 1010, ref SDS C2 CJ98, and despite not taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129774 - Napoxen 250 mg pills this morning, per above. ref SDS 0 XTRW  Time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129775 - 1.25 miles 17 minutes.  Slowed pace on Clayton hiking concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129776 - sidewalk, because this 1st pair Bondi 6 Wide shoes color Alloy / Steel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129777 - Gray seem comparable to 2nd pair black shoes worn yesterday, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129778 - above. ref SDS 0 XSUX  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129779 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129780 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129781 - traffic flow.  Time mile 4.25 65 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129782 - Valley Road going West hiking well, but feeling breakthrough pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129783 - level 2 left foot Tailor's Bunion, also some peripehral neruopathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129784 - right foot, but both subsided within 200 yards.  At mile 5 pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129785 - 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129786 - pace going 1 mile uphill.  At summit maintained pace on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129787 - ground.  Normal pace going down steep hill toward Rolling Woods Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129788 - Turned corner and increased pace hiking .3 miles up steeper hill and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129789 - breathing through nose all the way on Rolling Woods Way.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129790 - going downhill to Pine Hollow.  Turned corner onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129791 - increased pace hiking 1 mile back to Ygnacio Valley Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129792 - on Ygnacio Valley Road back to Crystal Ranch Road about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129793 - Feeling breakthrough pain level 2 left foot Tailor's bunion.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129794 - foot metatarsalgia pain level 2 so slowed pace, and pain subsided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129795 - pain level 0.  Decided to turn corner onto Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129796 - hiked 2nd 4-mile loop.  Going uphill on 2nd loop pain in left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129797 - Tailor's bunion stopped.  Metatarsalgia recurred, but only for about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129798 - 300 yards after slowing pace.  Felt slight fatigue going uphill, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129799 - maintained pace.  This resolved on reaching summit, and continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129800 - flat ground about .5 miles.  Turned corner onto Rolling Woods Way and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129801 - maintained pace going uphill .3 mile.  Rest of hike feet hurting back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129802 - to Crystal Ranch Road, so after 2nd loop, continued uphill on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129803 - Valley Road and turned corner on Cowell, then hiked home for 16 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129804 - effort.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129806 -  ..
129807 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129808 - Lunch - triscuts cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129809 - Dinner - lettuce tomato onion avocado mushrooms cumcumber rice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129811 -  ..
129812 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129816 -         ..
129817 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129818 -  344.  181208 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129819 -               0850....BP HR..................................................... 136  69  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129820 -               0855....BP HR..................................................... 130  67  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129821 -               0900....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129822 -               0900... 20 17760 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129823 -               0900... 80 103680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129824 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129825 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129826 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129827 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129828 -         **    0000....pushups......       40  2980 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129829 -               1035....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129830 -          * cr 1150....miles...........  21.0  57.00  321  875 minutes temp  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129831 -               1240... Naproxen (Aleve) 2 pill 250  69700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129832 -               1850....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129833 -               1855....BP HR.....................................................  92  51  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129834 -               1900....BP HR..................................................... 101  58  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129835 -               1920... 40 39020 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129836 -             1 0000... 80 103520 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129837 -             1 0000............ 10 11110  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129838 -             1 0000............ 10 10700  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129839 -               2120....Tramadol 50  650                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129840 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129841 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129842 -               0000... 40 17660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129843 -               2030... 1000  317000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129844 -               2220... 80 103760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129846 -  ..
129847 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129848 - 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129849 - part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129851 -  ..
129852 - Bondi 6 Wide shoes color Alloy / Steel Gray - today added Satallite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129853 - Elite orthotic inserts, which were omitted yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129854 - ref SDS 0 XWWQ  This was again exceptional cushioning and protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129855 - against feet injuries and pain.  Yesterday, wore 1st pair, but forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129856 - to switch the inserts from the Black shoes back to the steel grey                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129857 - pair.  As result, had diffuclty at mile 12 with feet hurting, so ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129858 - hike at 16 miles.  Experience hiking 21 miles today, verfies 1st pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129859 - continues to provide protection against injuries and pain, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129860 - 181202, per above, ref SDS 0 WXRU, and is significantly better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129861 - 2nd pair Bondi 6 wide color black shoes worn on 181206, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129862 - ref SDS 0 XTUV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129864 -  ..
129865 - ** Pushups - today none - on 181207, resumed after pausing on 181113,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129866 - military pushups again due to recurrent injury to muscle along spinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129867 - column below neck, reported during hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129868 - ref SDS 0 SXYV  On 181104 resumed military pushups again after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129869 - on 181102, felt slight pain in back after 1st set 20 pushups, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129870 - paused again after previously resuming on 181028, doing military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129871 - pushups with feet elevated on chair, after pausing again on 181021.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129872 - Tried them on 181020, ref SDS 0 HN5K, first time since 181007, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129873 - above. ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129874 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129876 -  ..
129877 - Pullups - today none - on 181207, starting just half pullups with feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129878 - on ground using desk for pullup bar, so just half weight. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129879 - 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129881 -  ..
129882 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129884 -               181212 1600................. pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129885 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129886 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129887 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129888 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129889 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129891 -  ..
129892 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129893 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129894 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129896 -  ..
129897 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129898 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129899 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129900 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129902 -  ..
129903 - Blood pressure poor 130 67 today, ref SDS 0 4R9G, higher today, aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129904 - with not taking Naproxen yesterday, but taking Mylanta yesterday, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129905 - heart rate okay today, after hiking 16 miles yesterday on 181207.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129906 - ref SDS 0 1T6N  BP today, 92 51, okay after hiking 21 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129908 -  ..
129909 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129910 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129911 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129912 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129914 -  ..
129915 - Weight - 173 this morning after hiking 16 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129916 - yesterday on 181207, per above. ref SDS 0 YPSX  Today, after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129917 - miles, weight 170; lost 3 pounds, per above. ref SDS 0 4R9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129919 -  ..
129920 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129921 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129922 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129923 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129924 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129925 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129926 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129927 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129928 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129929 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129930 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129931 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129933 -  ..
129934 - Pain medication - today took 2 Naproxen 250 mg pills about mile 2.5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129935 - stopped at Lucky store on Clayton, because knees osterarthritis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129936 - feet metatarsalgia were hurting before getting PRP next Tuesday on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129937 - 181212.  Previously, paused Naproxen 250 mg on 181203, after taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129938 - pills yesterday, to facilitate hiking 21 miles. ref SDS 0 WXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129939 - Naproxen and ibuprofen increase blood pressure, see on 181101, above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129940 - ref SDS 0 XT6N; and naproxen increases LDL in lab, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129941 - 181021 1541. ref SDS B2 KU6L  PRP treatment on 180824 1515,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129942 - ref SDS A8 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129943 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129944 - month or so, but benefits of PRP seem to be wearing off.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129945 - Acetaminophen 1000 mg causes intoxication that lowers HDL 30%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129946 - Naproxex 1 pill 250 mg seems smaller and so reduces risk getting stuck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129947 - above LESV and causing ulceration.  Seemed like Naproxen pill (NSAID                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129948 - which conflicts with PRP line of care) got stuck on 180702, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129949 - on 180703, per above. ref SDS 0 SQTY  Hydrocodone does not raise blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129950 - pressure nor lower HDL, received on 180730 1726. ref SDS A3 0O9K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129951 - Normally take 2 Naproxen or Hydrodocone pills, but this increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129952 - chances of pills getting stuck above LESV causing ulceration.  So,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129953 - have switched to just 1 pill per day.  If not adequate pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129954 - can carry 2nd pill and take it after 2 hours about half way through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129955 - hike at mile 7 or so.  This should eliminate acetaminophen and avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129956 - ulceration of LESV, Acetaminophen began on 170825, shown in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129957 - on 160101 0700, ref SDS 37 7F6O - was paused, in order to prevent side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129958 - effects of lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129961 -                                                    Pain Level   Day
129962 -         ..
129963 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129964 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129965 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129966 -        Knee left......Supartz on 181126.............   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129967 -        Knee right.....Supartz on 181126.............   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129968 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129969 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129970 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129971 -        Tailor's Bunion left foot....................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129972 -        Tailor's Bunion right foot...................   2          5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129973 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129974 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129975 -        Metatarsalgia left foot......................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129976 -        Metatarsalgia right foot.....................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129977 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129978 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129979 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129980 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129981 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129982 -        Peripheral neruopathy right foot.............   0         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129984 -  ..
129985 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129986 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129987 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129988 - evident peripheral neuropathy in right foot on Clayton and onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129989 - Ygnacio Valley Road for about 1 mile, then subsided for rest of hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129990 - and after taking statins last night on 181207, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129991 - 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129993 -  ..
129994 - Legs and arms 5 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129995 - depleted, despite taking 2 Naproxen during hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129996 - ref SDS 0 YQWT  Took Tramadol pill, per above. ref SDS 0 4R9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129998 -  ..
129999 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130000 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130002 -  ..
130003 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130004 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130005 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130007 -  ..
130008 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130009 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130010 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130011 - foot pain level 0 entire route.  Yesterday, forgot to install these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130012 - inserts, and suffered considerable pain from feet injuries, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130013 - less rebound energy - could only hike 16 miles. ref SDS 0 XWWQ  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130014 - adding these inserts enabled hiking 21 miles without feet pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130015 - with good rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130017 -  ..
130018 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130019 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130021 -  ..
130022 - Left foot metatarsalgia - pain level 0 entire route.  Left foot was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130023 - not treated with PRP injections on 180824 1515. ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130025 -  ..
130026 - Right foot metatarsalgia - pain level 3 couple times for less than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130027 - 100 feet, aligns with PRP treatment on 180824, beginning to wear out,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130028 - and taking 2 Naproxen 250 mg pills before starting hike this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130029 - and wearing Hoka Bondi 6 shoes with superior cushioning, wor past 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130030 - days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130033 -  ..
130034 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130035 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130036 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130037 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130038 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130040 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130041 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130042 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130043 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130044 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130045 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130046 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130047 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130048 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130049 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130050 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130051 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130052 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130053 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130054 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130055 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130056 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130057 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130058 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130059 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130060 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130061 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130062 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130063 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130064 -        again today.................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130066 -  ..
130067 - Today, calluses edge both big toes did not apply liquid bandage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130068 - Nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130070 -  ..
130071 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130072 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130073 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130074 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130075 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130077 -  ..
130078 - Left knee - pain level 2 about 15% of hike, after treatment with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130079 - on 180824 1515. ref SDS A8 0001  Supartz 2nd injection on 181203 1010.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130080 - ref SDS C2 CJ98 - was able to hike 20 miles without 2 Naproxen pills.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130082 -  ..
130083 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130084 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130085 - ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130087 -  ..
130088 - Hip left, pain level 0 entire hike - omitted Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130090 -  ..
130091 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130092 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130093 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130094 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  New                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130095 - Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130096 - feet.  Breakthrough pain level 2 several times during hike for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130097 - duration - not enough to prevent hiking 20 miles, and without taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130098 - Naproxen 250 mg pills needed this past Sunday to reach 400 miles for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130099 - November, per above. ref SDS 0 L16H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130101 -  ..
130102 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130103 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130104 - good, good rebound energy with new Hoka Bondi 6 Wide shoes color Alloy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130105 - / Steel Gray, and with Satallite Elite orthotic inserts, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130106 - omitted yesterday, per above. ref SDS 0 XWWQ  Left knee pain level 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130107 - after 2nd Supartz injection on 181203 1010, ref SDS C2 CJ98, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130108 - taking 2 Napoxen 250 mg pills this morning, per above. ref SDS 0 4R9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130109 - Time to 1.25 miles 17 minutes.  Slowed pace on Clayton hiking concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130110 - sidewalk, because feeling rising left knee pain.  At mile 2.5, stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130111 - at Lucky store and bought 50 Naproxen pills 250 mg.  Took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130112 - using water fountain in the store to get the pills through to fall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130113 - through LESV in throat.  Continued hike with some peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130114 - neuropathy in right foot.  Turned corner onto Ygnacio Valley Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130115 - mile 3.25.  Hiked to mile 3.5, then switched to asphault roadway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130116 - About mile 3.8 crossed from North to South Side to hike against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130117 - Eastbound traffic flow.  Pain in left knee began to subside, feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130118 - effects of Naproxen pills.  Time mile 4.25 69 minutes.  Continuing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130119 - Ygnacio Valley Road going West hiking well, still no pain left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130120 - Tailor's Bunion, but some peripehral neruopathy right foot, but it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130121 - subsided within 200 yards.  At mile 5 pain level 0, so turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130122 - and hiked 4-mile loop on Crystal Ranch Road.  Good pace going .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130123 - miles uphill breathing through nose all the way.  At summit maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130124 - pace on flat ground.  Normal pace going down steep hill toward Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130125 - Woods Way.  Turned corner and increased pace hiking .3 miles up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130126 - steeper hill and breathing through nose all the way on Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130127 - Way.  Slowed pace going downhill to Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130128 - Pine Hollow and increased pace hiking 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130129 - Road.  Hiked West on Ygnacio Valley Road back to Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130130 - about 1 mile.  Still have pain level 0, so turned corner onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130131 - Ranch Road and hiked 2nd 4-mile loop.  Feeling very good, so this was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130132 - faster than 1st loop.  After 2nd loop, it was getting dark.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130133 - Temperature dropped, so did not do 3rd loop.  Continued uphill Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130134 - Valley Road past Cowell to summit.  This is shallower than going up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130135 - Crystal Ranch Road, so handled this well.  Continued downhill 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130136 - to Oak Grove.  Hiked another mile Oak Grove to Treat.  This is riskier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130137 - in the dark, because recent roadway improvements on Oak Grove narrowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130138 - the shoulder path.  Turned corner and hiked .5 miles then increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130139 - pace going uphill on Treat to Cuneo.  Hiked final 1 mile loop and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130140 - added warm down loop around complex returning home for 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130142 -  ..
130143 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130144 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130145 - Dinner - roast beef cut into very small pieces for swallowing carrots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130146 - gravy potatoes celery onion rice brocolli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130148 -  ..
130149 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130153 -         ..
130154 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130155 -  345.  181209 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130156 -               1040....BP HR..................................................... 127  67  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130157 -               1045....BP HR..................................................... 124  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130158 -               1050....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130159 -               1050... 20 17780 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130160 -               1050... 80 103840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130161 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130162 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130163 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130164 -               0000... Naproxen (Aleve) 2 pill 250  69700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130165 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130166 -         **    0000....pushups......       40  2980 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130167 -               1035....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130168 -          * cr 1140....miles...........  21.0  78.00  319 1194 minutes temp  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130169 -               1750....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130170 -               1755....BP HR.....................................................  97  56  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130171 -               1800....BP HR..................................................... 107  55  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130172 -             1 0000... 40 39020 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130173 -               1805... 80 103920 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130174 -               1830............ 10 11120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130175 -               1830............ 10 10710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130176 -               1940....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130177 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130178 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130179 -               0000... 40 17660 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130180 -               2030... 1000  318000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130181 -               2220... 80 104000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130183 -  ..
130184 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130185 - 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130186 - part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130188 -  ..
130189 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130190 - orthotic inserts again like yesterday on 181209, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130191 - ref SDS 0 YPYV, but which were omitted the day before, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130192 - ref SDS 0 XWWQ  This was again exceptional cushioning and protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130193 - against feet injuries and pain, same as yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130194 - ref SDS 0 YPYV  Experience hiking 21 miles 2 days in a row, verfies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130195 - 1st pair protects against injuries and pain, reported on 181202, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130196 - above, ref SDS 0 WXRU, and is significantly better than 2nd pair Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130197 - 6 wide color black shoes worn on 181206, per above. ref SDS 0 XTUV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130199 -  ..
130200 - ** Pushups - today none - on 181207, resumed after pausing on 181113,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130201 - military pushups again due to recurrent injury to muscle along spinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130202 - column below neck, reported during hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130203 - ref SDS 0 SXYV  On 181104 resumed military pushups again after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130204 - on 181102, felt slight pain in back after 1st set 20 pushups, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130205 - paused again after previously resuming on 181028, doing military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130206 - pushups with feet elevated on chair, after pausing again on 181021.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130207 - Tried them on 181020, ref SDS 0 HN5K, first time since 181007, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130208 - above. ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130209 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130211 -  ..
130212 - Pullups - today none - on 181207, starting just half pullups with feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130213 - on ground using desk for pullup bar, so just half weight. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130214 - 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130216 -  ..
130217 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130219 -               181212 1600................. pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130220 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130221 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130222 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130223 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130224 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130226 -  ..
130227 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130228 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130229 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130231 -  ..
130232 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130233 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130234 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130235 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130237 -  ..
130238 - Blood pressure good 124 67 today, ref SDS 0 784J, higher today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130239 - conflicts with taking Naproxen yesterday, but not taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130240 - yesterday, and heart rate okay today, after hiking 21 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130241 - on 181208. ref SDS 0 4R9G  BP today, 97 56 okay after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130242 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130244 -  ..
130245 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130246 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130247 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130248 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130250 -  ..
130251 - Weight - 172 this morning after hiking 21 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130252 - yesterday on 181208, per above. ref SDS 0 YSWP  Today, after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130253 - miles, weight 170; lost 2 pounds, per above. ref SDS 0 784J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130255 -  ..
130256 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130257 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130258 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130259 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130260 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130261 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130262 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130263 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130264 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130265 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130266 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130267 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130268 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130270 -  ..
130271 - Pain medication - hiked 21 miles today, on 181209 without taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130272 - Naproxen, after taking 2 pills Naproxen 250 mg yesterday on 181208, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130273 - facilitate hiking 21 miles. ref SDS 0 YQWT  Naproxen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130274 - increase blood pressure, see on 181101, above, ref SDS 0 XT6N; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130275 - naproxen increases LDL in lab, as occurred on 181021 1541. ref SDS B2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130276 - KU6L  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130277 - pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130278 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130279 - seem to be wearing off.  Acetaminophen 1000 mg causes intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130280 - that lowers HDL 30%.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130281 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130282 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130283 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130284 - Hydrocodone does not raise blood pressure nor lower HDL, received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130285 - 180730 1726. ref SDS A3 0O9K  Normally take 2 Naproxen or Hydrodocone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130286 - pills, but this increases chances of pills getting stuck above LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130287 - causing ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130288 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130289 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130290 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130291 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130292 - paused, in order to prevent side effects of lowering HDL 33%, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130293 - on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130296 -                                                    Pain Level   Day
130297 -         ..
130298 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130299 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130300 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130301 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130302 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130303 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130304 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130305 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130306 -        Tailor's Bunion left foot....................   1          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130307 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130308 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130309 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130310 -        Metatarsalgia left foot......................   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130311 -        Metatarsalgia right foot.....................   2          3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130312 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130313 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130314 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130315 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130316 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130317 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130319 -  ..
130320 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130321 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130322 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130323 - no peripheral neuropathy in right foot entire 21 mile hike, after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130324 - taking statins last night on 181208, per above. ref SDS 0 4R9G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130326 -  ..
130327 - Legs and arms 3 hours after hike feel anxious like oxygen nutrients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130328 - depleted, so took Tramadol, per above. ref SDS 0 784J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130330 -  ..
130331 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130332 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130334 -  ..
130335 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130336 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130337 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130339 -  ..
130340 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130341 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130342 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130343 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130344 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130346 -  ..
130347 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130348 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130350 -  ..
130351 - Left foot metatarsalgia - pain level 2 several occasions for about 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130352 - yards. aligns with PRP treatment on 180824, beginning to wear out, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130353 - taking 2 Naproxen 250 mg pills before starting hike this morning, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130354 - wearing Hoka Bondi 6 shoes with superior cushioning, wore past 2 days,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130355 - beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130357 -  ..
130358 - Right foot metatarsalgia - pain level 2 several occasions for about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130359 - 100 yards, aligns with PRP treatment on 180824, beginning to wear out,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130360 - and taking 2 Naproxen 250 mg pills before starting hike this morning,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130361 - and wearing Hoka Bondi 6 shoes with superior cushioning, wore past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130362 - days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130364 -  ..
130365 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130366 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130367 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130368 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130369 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130371 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130372 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130373 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130374 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130375 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130376 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130377 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130378 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130379 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130380 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130381 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130382 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130383 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130384 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130385 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130386 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130387 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130388 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130389 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130390 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130391 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130392 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130393 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130394 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130395 -        again today.................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130397 -  ..
130398 - Today, calluses edge both big toes did not apply liquid bandage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130399 - Nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130401 -  ..
130402 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130403 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130404 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130405 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130406 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130408 -  ..
130409 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130410 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130411 - ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130414 -  ..
130415 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130416 - 180824 1515. ref SDS A8 0001  Supartz injection on 181126 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130417 - ref SDS B8 BK6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130419 -  ..
130420 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130422 -  ..
130423 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130424 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130425 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130426 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  New                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130427 - Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130428 - feet.  Breakthrough pain level 1 several times during hike for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130429 - duration - not enough to prevent hiking 21 miles, and without taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130430 - Naproxen 250 mg pills needed yesterday, per above. ref SDS 0 YQWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130432 -  ..
130433 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130434 - ref SDS 22 HG3F  Did not do extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130435 - energy good, very good rebound energy wearing again 1st pair Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130436 - wide shoes color alloy / steel grey and with orthotic inserts Lynn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130437 - Flex heel and Satallite Elite, per above. ref SDS 0 YTTY  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130438 - pain level 0 - time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130439 - Clayton hiking concrete sidewalk, because wearing 1st pair Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130440 - wide shoes superior cushioning protects against injuries to feet and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130441 - knees.  So, did not have to stop at Lucky store and buy Naproxen to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130442 - take 2 pills, as was done yesterday, per above. ref SDS 0 YSSR  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130443 - corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130444 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130445 - South Side to hike against Eastbound traffic flow.  Time mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130446 - minutes.  Continuing on Ygnacio Valley Road going West hiking well,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130447 - without breakthrough pain nor peripehral neruopathy in right foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130448 - occurred yesterday.  At mile 5 pain level 0, so turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130449 - hiked 4-mile loop on Crystal Ranch Road.  Good pace going 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130450 - uphill.  At summit maintained pace on flat ground.  Normal pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130451 - down steep hill toward Rolling Woods Way.  Turned corner and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130452 - pace hiking .3 miles up steeper hill and breathing through nose all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130453 - the way on Rolling Woods Way.  Slowed pace going downhill to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130454 - Hollow.  Turned corner onto Pine Hollow and increased pace hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130455 - mile back to Ygnacio Valley Road.  Hiked West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130456 - back to Crystal Ranch Road about 1 mile.  Turned corner onto Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130457 - Ranch Road and hiked 2nd 4-mile loop.  About half way (.5 miles) going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130458 - uphill on 2nd loop pain 1 left foot Tailor's bunion for only about 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130459 - yards.  Metatarsalgia recurred pain level 2 both feet, but only for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130460 - about 100 yards.  Felt slight fatigue going uphill, but maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130461 - pace.  Continuing on flat ground fatigue resolved for .5 miles on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130462 - roadway.  Slowed pace going downhill.  Turned corner onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130463 - Woods Way and increased pace going uphill .3 mile.  Fatigue again 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130464 - half going up steepest part of Rolling Woods Way, but maintained pace.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130465 - Seems remarkable to maintain fast pace despite feeling fatigue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130466 - Turned corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130467 - Road.  Stopped at Texaco gas station to use restroom.  Bought                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130468 - softdrink and drank few sips to help swallow few bites of chocolate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130469 - bar (Mr Goodbar).  Hiked 1 mile back to Crystal Ranch Road.  Nearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130470 - end of 2nd 4-mile loop at Crystal Ranch Road felt surge of energy from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130471 - coke and candy, so turned corner and did 3rd 4-mile loop - similar to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130472 - 2nd loop.  After 3rd 4-mile loop, continued uphill on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130473 - Road past Cowell.  Took 2 more bites of chocolate bar.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130474 - to summit.  This is shallower than going up Crystal Ranch Road, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130475 - handled this well.  Continued downhill 2 miles to Oak Grove.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130476 - corner and called Kathy for ride at Treat and Oak Grove.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130477 - another mile on Oak Grove to Treat.  By now it was 1700, and totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130478 - dark.  This makes hiking along the narrow shoulder high risk with high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130479 - level vehicle traffic.  Made it to Treat.  Kathy drove us home for 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130480 - mile hike - 2 days in a row first time.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130482 -  ..
130483 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130484 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130485 - Dinner - hamburger rice onion squash asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130487 -  ..
130488 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130492 -         ..
130493 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130494 -  346.  181210 0630..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130495 -               0710....BP HR..................................................... 130  63  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130496 -               0715....BP HR..................................................... 133  65  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130497 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130498 -               0720... 20 17800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130499 -               0720... 80 104080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130500 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130501 -               0000....1000 115000 acetaminophen liquid - Tylenol recommended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130502 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130503 -               0000... Naproxen (Aleve) 2 pill 250  69700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130504 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130505 -         **    0000....pushups......       40  2980 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130506 -               1035....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130507 -          * cr 1340....miles...........  16.0  16.00  247  247 minutes temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130508 -               1730....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130509 -               1740....BP HR.....................................................  94  58  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130510 -               1745....BP HR..................................................... 106  64  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130511 -               1810... 40 39060 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130512 -             1 1805... 80 103920 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130513 -             1 0000............ 10 11120  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130514 -             1 0000............ 10 10710  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130515 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130516 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130517 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130518 -               2030... 40 17700 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130519 -               2120... 1000  319000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130520 -               2240... 80 104160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130522 -  ..
130523 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130524 - 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130525 - part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130527 -  ..
130528 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130529 - orthotic inserts again like on 181209, per above. ref SDS 0 YPYV, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130530 - which were omitted the day before, per above. ref SDS 0 XWWQ  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130531 - again exceptional cushioning and protection against feet injuries and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130532 - pain, same as yesterday, per above. ref SDS 0 YPYV  Experience hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130533 - 21 miles 2 days in a row, then 16 miles today, verfies 1st pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130534 - protects against injuries and pain, reported on 181202, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130535 - ref SDS 0 WXRU, and is significantly better than 2nd pair Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130536 - color black shoes worn on 181206, per above. ref SDS 0 XTUV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130538 -  ..
130539 - ** Pushups - today none - on 181207, resumed after pausing on 181113,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130540 - military pushups again due to recurrent injury to muscle along spinal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130541 - column below neck, reported during hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130542 - ref SDS 0 SXYV  On 181104 resumed military pushups again after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130543 - on 181102, felt slight pain in back after 1st set 20 pushups, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130544 - paused again after previously resuming on 181028, doing military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130545 - pushups with feet elevated on chair, after pausing again on 181021.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130546 - Tried them on 181020, ref SDS 0 HN5K, first time since 181007, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130547 - above. ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130548 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130550 -  ..
130551 - Pullups - today none - on 181207, starting just half pullups with feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130552 - on ground using desk for pullup bar, so just half weight. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130553 - 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130555 -  ..
130556 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130558 -               181212 1600................. pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130559 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130560 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130561 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130562 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130563 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130565 -  ..
130566 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130567 - Rosa, reported on 181126 1030. ref SDS B8 V54H  This was ordered by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130568 - Doctor Thuillier at VAMCSF on 181025 0735. ref SDS B3 ZY5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130570 -  ..
130571 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130572 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130573 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130574 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130576 -  ..
130577 - Blood pressure okay 130 63 today, ref SDS 0 UH8L, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130578 - taking Naproxen yesterday, but not taking Mylanta yesterday, and heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130579 - rate okay today, after hiking 21 miles yesterday on 181209.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130580 - ref SDS 0 784J  BP today, 94 58 okay after hiking 16 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130582 -  ..
130583 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130584 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130585 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130586 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130588 -  ..
130589 - Weight - 173 this morning after hiking 21 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130590 - yesterday on 181209, per above. ref SDS 0 YWTP  Today, after hiking 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130591 - miles, weight 169; lost 4 pounds, per above. ref SDS 0 UH8L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130593 -  ..
130594 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130595 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130596 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130597 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130598 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130599 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130600 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130601 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130602 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130603 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130604 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130605 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130606 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130607 -        181209....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130609 -  ..
130610 - Pain medication - hiked 16 miles today, on 181210 without taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130611 - Naproxen, after taking 2 pills Naproxen 250 mg on 181208, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130612 - facilitate hiking 21 miles. ref SDS 0 YQWT  Naproxen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130613 - increase blood pressure, see on 181101, above, ref SDS 0 XT6N; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130614 - naproxen increases LDL in lab, as occurred on 181021 1541. ref SDS B2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130615 - KU6L  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130616 - pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130617 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130618 - seem to be wearing off.  Acetaminophen 1000 mg causes intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130619 - that lowers HDL 30%.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130620 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130621 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130622 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130623 - Hydrocodone does not raise blood pressure nor lower HDL, received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130624 - 180730 1726. ref SDS A3 0O9K  Normally take 2 Naproxen or Hydrodocone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130625 - pills, but this increases chances of pills getting stuck above LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130626 - causing ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130627 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130628 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130629 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130630 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130631 - paused, in order to prevent side effects of lowering HDL 33%, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130632 - on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130635 -                                                    Pain Level   Day
130636 -         ..
130637 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130638 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130639 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130640 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130641 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130642 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130643 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130644 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130645 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130646 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130647 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130648 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130649 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130650 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130651 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130652 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130653 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130654 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130655 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130656 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130658 -  ..
130659 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130660 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130661 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130662 - no peripheral neuropathy in right foot entire 16 mile hike, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130663 - taking statins last night on 181209, per above. ref SDS 0 784J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130665 -  ..
130666 - Legs and arms 3 hours after hike do not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130667 - nutrients depleted, so did not take Tramadol. ref SDS 0 UH8L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130669 -  ..
130670 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130671 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130673 -  ..
130674 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130675 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130676 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130678 -  ..
130679 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130680 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130681 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130682 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130683 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130685 -  ..
130686 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130687 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130689 -  ..
130690 - Left foot metatarsalgia - pain level 0 entire hike, aligns with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130691 - treatment on 180824, and wearing Hoka Bondi 6 shoes with superior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130692 - cushioning, wore past 2 days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130694 -  ..
130695 - Right foot metatarsalgia - pain level 0 entire hike, aligns with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130696 - treatment on 180824, and wearing Hoka Bondi 6 shoes with superior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130697 - cushioning, wore past 2 days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130699 -  ..
130700 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130701 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130702 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130703 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130704 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130706 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130707 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130708 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130709 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130710 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130711 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130712 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130713 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130714 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130715 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130716 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130717 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130718 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130719 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130720 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130721 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130722 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130723 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130724 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130725 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130726 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130727 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130728 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130729 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130730 -        again today.................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130732 -  ..
130733 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130734 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130736 -  ..
130737 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130738 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130739 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130740 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130741 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130743 -  ..
130744 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130745 - 180824 1515. ref SDS A8 0001  Got 3rd and final Supartz injection at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130746 - VA in Santa Rosa.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130748 -  ..
130749 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130750 - 180824 1515. ref SDS A8 0001  Got 3rd and final Supartz injection at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130751 - VA in Santa Rosa.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130753 -  ..
130754 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130756 -  ..
130757 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130758 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130759 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130760 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  New                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130761 - Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130762 - feet.  Breakthrough pain level 1 several times during hike for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130763 - duration - not enough to prevent hiking 21 miles, and without taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130764 - Naproxen 250 mg pills needed yesterday, per above. ref SDS 0 YQWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130766 -  ..
130767 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130768 - ref SDS 22 HG3F  Did not do extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130769 - energy good, very good rebound energy wearing again 1st pair Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130770 - wide shoes color alloy / steel grey and with orthotic inserts Lynn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130771 - Flex heel and Satallite Elite, per above. ref SDS 0 YTTY  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130772 - pain level 0 - time to 1.25 miles 18 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130773 - Clayton hiking concrete sidewalk, because 1st pair Bondi 6 wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130774 - superior cushioning protects against injuries to feet and knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130775 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130776 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130777 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130778 - 4.25 65 minutes.  Continuing on Ygnacio Valley Road going West hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130779 - well, without breakthrough pain nor peripehral neruopathy.  Vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130780 - traffic was in gridlock at commute time due an accident.  Did not seen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130781 - a crash site.  Emergency vehicles had difficulty driving through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130782 - congested traffic.  Some cars pulled off onto the shoulder, so had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130783 - dodge them.  At mile 5 pain level 0, so turned corner and hiked 4-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130784 - loop on Crystal Ranch Road.  Good pace going 1 mile uphill.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130785 - 2/3rd way up felt fatigue, but maintained pace - wondered what 2nd lap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130786 - would be like.  At summit slowed pace on flat ground.  Normal pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130787 - going down steep hill toward Rolling Woods Way.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130788 - increased pace hiking .3 miles up steeper hill.  Again about 2/3rd way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130789 - up seemed fatigued.  Slowed pace going downhill to Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130790 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130791 - to Ygnacio Valley Road.  Hiked West on Ygnacio Valley Road back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130792 - Crystal Ranch Road about 1 mile.  Turned corner onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130793 - Road and hiked 2nd 4-mile loop.  Felt significant fatigue going uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130794 - at slower pace.  Considered stopping to rest or simply return                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130795 - downhill, but eventually made the summit.  Continuing fatigue resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130796 - for .5 miles on flat roadway.  Slowed pace going downhill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130797 - corner onto Rolling Woods Way and struggled with fatigue up the .3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130798 - mile steeper hill.  This actually went better than on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130799 - Road.  Seems remarkable to maintain fast pace despite feeling fatigue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130800 - Turned corner onto Pine Hollow and hiked 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130801 - Road.  Traffic jam due to accident an hour earlier was cleared.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130802 - 1 mile back to Crystal Ranch Road.  After 2nd 4-mile loop, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130803 - uphill on Ygnacio Valley Road past Cowell.  Considered hikng over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130804 - summit and doing another 5 miles in order to do lab testing HDL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130805 - hiking 3 21-mile hikes in a row.  Temperature was cold and windy, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130806 - turned corner at Cowell and hiked home for 16-mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130808 -  ..
130809 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130810 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130811 - Dinner - hamburger rice onion squash asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130813 -  ..
130814 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130818 -         ..
130819 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130820 -  347.  181211 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130821 -               0830....BP HR..................................................... 135  68  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130822 -               0835....BP HR..................................................... 127  70  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130823 -               0840....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130824 -               0840... 20 17800 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130825 -               0840... 80 104080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130826 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130827 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130828 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130829 -               0000... Naproxen (Aleve) 2 pill 250  69700 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130830 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130831 -         **    0840....pushups......       20  3000 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130832 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130833 -          * cr 1120....miles...........  11.0  27.00  168  415 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130834 -               1430....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130835 -               1435....BP HR..................................................... 112  64  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130836 -               1440....BP HR..................................................... 106  58  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130837 -             1 0000... 40 39060 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130838 -               1805... 80 103920 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130839 -               1830............ 10 11130  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130840 -               1830............ 10 10720  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130841 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130842 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130843 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130844 -               2010... 40 17740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130845 -               2040... 1000  319000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130846 -               2240... 80 104160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130848 -  ..
130849 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130850 - 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130851 - part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130853 -  ..
130854 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130855 - orthotic inserts again like on 181209, per above. ref SDS 0 YPYV, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130856 - which were omitted the day before, per above. ref SDS 0 XWWQ  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130857 - again exceptional cushioning and protection against feet injuries and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130858 - pain, same as yesterday, per above. ref SDS 0 YPYV  Experience hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130859 - 21 miles 2 days in a row, then 16 miles today, verfies 1st pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130860 - protects against injuries and pain, reported on 181202, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130861 - ref SDS 0 WXRU, and is significantly better than 2nd pair Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130862 - color black shoes worn on 181206, per above. ref SDS 0 XTUV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130864 -  ..
130865 - ** Pushups - today 20 on 181211 - resumed on 181207 after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130866 - 181113, military pushups again due to recurrent injury to muscle along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130867 - spinal column below neck, reported during hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130868 - ref SDS 0 SXYV  On 181104 resumed military pushups again after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130869 - on 181102, felt slight pain in back after 1st set 20 pushups, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130870 - paused again after previously resuming on 181028, doing military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130871 - pushups with feet elevated on chair, after pausing again on 181021.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130872 - Tried them on 181020, ref SDS 0 HN5K, first time since 181007, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130873 - above. ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130874 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130876 -  ..
130877 - Pullups - today none - on 181207, starting just half pullups with feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130878 - on ground using desk for pullup bar, so just half weight. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130879 - 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130881 -  ..
130882 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130884 -               181212 1600................. pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130885 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130886 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130887 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130888 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130889 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130891 -  ..
130892 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130893 - Rosa, ordered by Doctor Thuillier at VAMCSF on 181025 0735.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130894 - ref SDS B3 ZY5G  Injections performed by Gina on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130896 -               181126 1030. ref SDS B8 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130897 -               181203 1010, ref SDS C2 CJ98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130898 -               181210 1030, ref SDS C4 CJ98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130900 -  ..
130901 - Orthopedic - Doctor Gloria Tucker scheduled next PRP injections a week                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130902 - after completing Supartz injections at the VA, and on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130903 - This will test theraputic benefits combining Supartz (hyaluronic acid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130904 - with PRP, reported in another record, 181126 1127. ref SDS B9 KJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130906 -  ..
130907 - Blood pressure okay 127 70 today, ref SDS 0 FL5F, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130908 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130909 - yesterday, and heart rate okay today, after hiking 16 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130910 - on 181210. ref SDS 0 UH8L  BP today, 94 58 okay after hiking 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130912 -  ..
130913 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130914 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130915 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130916 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130918 -  ..
130919 - Weight - 172 this morning after hiking 16 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130920 - yesterday on 181210, per above. ref SDS 0 PPXW  Today, after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130921 - miles, weight 168; lost 4 pounds, per above. ref SDS 0 FL5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130923 -  ..
130924 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130925 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130926 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130927 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130928 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130929 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130930 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130931 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130932 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130933 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130934 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130935 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130936 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130937 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130938 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130940 -  ..
130941 - Pain medication - hiked 16 miles today, on 181210 without taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130942 - Naproxen, after taking 2 pills Naproxen 250 mg on 181208, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130943 - facilitate hiking 21 miles. ref SDS 0 YQWT  Naproxen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130944 - increase blood pressure, see on 181101, above, ref SDS 0 XT6N; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130945 - naproxen increases LDL in lab, as occurred on 181021 1541. ref SDS B2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130946 - KU6L  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130947 - pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130948 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130949 - seem to be wearing off.  Acetaminophen 1000 mg causes intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130950 - that lowers HDL 30%.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130951 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130952 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130953 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130954 - Hydrocodone does not raise blood pressure nor lower HDL, received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130955 - 180730 1726. ref SDS A3 0O9K  Normally take 2 Naproxen or Hydrodocone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130956 - pills, but this increases chances of pills getting stuck above LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130957 - causing ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130958 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130959 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130960 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130961 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130962 - paused, in order to prevent side effects of lowering HDL 33%, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130963 - on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130966 -                                                    Pain Level   Day
130967 -         ..
130968 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130969 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130970 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130971 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130972 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130973 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130974 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130975 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130976 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130977 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130978 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130979 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130980 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130981 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130982 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130983 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130984 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130985 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130986 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130987 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130989 -  ..
130990 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130991 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130992 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130993 - no peripheral neuropathy in right foot entire 16 mile hike, after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130994 - taking statins last night on 181210, per above. ref SDS 0 UH8L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130996 -  ..
130997 - Legs and arms 3 hours after hike do not feel anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130998 - nutrients depleted, so did not take Tramadol. ref SDS 0 UH8L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131000 -  ..
131001 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131002 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131004 -  ..
131005 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131006 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131007 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131009 -  ..
131010 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131011 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131012 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131013 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131014 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131016 -  ..
131017 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131018 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131020 -  ..
131021 - Left foot metatarsalgia - pain level 0 entire hike, aligns with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131022 - treatment on 180824, and wearing Hoka Bondi 6 shoes with superior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131023 - cushioning, wore past 2 days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131025 -  ..
131026 - Right foot metatarsalgia - pain level 0 entire hike, aligns with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131027 - treatment on 180824, and wearing Hoka Bondi 6 shoes with superior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131028 - cushioning, wore past 2 days, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131030 -  ..
131031 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131032 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131033 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131034 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131035 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131037 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131038 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131039 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131040 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131041 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131042 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131043 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131044 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131045 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131046 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131047 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131048 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131049 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131050 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131051 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131052 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131053 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131054 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131055 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131056 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131057 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131058 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131059 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131060 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131061 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131062 -        again today.................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131064 -  ..
131065 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131066 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131068 -  ..
131069 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131070 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131071 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131072 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131073 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131075 -  ..
131076 - Left knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131077 - 180824 1515. ref SDS A8 0001  Got 3rd and final Supartz injection at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131078 - VA in Santa Rosa.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131080 -  ..
131081 - Right knee - pain level 0 entire hike, after treatment with PRP on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131082 - 180824 1515. ref SDS A8 0001  Got 3rd and final Supartz injection at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131083 - VA in Santa Rosa.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131085 -  ..
131086 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131088 -  ..
131089 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131090 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131091 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131092 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  New                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131093 - Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131094 - feet.  Breakthrough pain level 1 several times during hike for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131095 - duration - not enough to prevent hiking 21 miles, and without taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131096 - Naproxen 250 mg pills needed yesterday, per above. ref SDS 0 YQWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131098 -  ..
131099 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131100 - ref SDS 22 HG3F  Did not do extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131101 - energy good, very good rebound energy wearing again 1st pair Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131102 - wide shoes color alloy / steel grey and with orthotic inserts Lynn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131103 - Flex heel and Satallite Elite, per above. ref SDS 0 YTTY  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131104 - pain level 0 - time to 1.25 miles 17 minutes.  Maintained pace on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131105 - Clayton hiking concrete sidewalk, because 1st pair Bondi 6 wide shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131106 - superior cushioning protects against injuries to feet and knees.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131107 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131108 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131109 - North to South Side to hike against Eastbound traffic flow.  Time mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131110 - 4.25 64 minutes.  Continuing on Ygnacio Valley Road going West hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131111 - well, without breakthrough pain nor peripehral neruopathy.  At mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131112 - pain level 0, so turned corner and hiked 4-mile loop on Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131113 - Road.  Good pace going 1 mile uphill.  About 2/3rds way up felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131114 - fatigue, but maintained pace - wondered what 2nd lap would be like.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131115 - At summit slowed pace on flat ground.  Normal pace going down steep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131116 - hill toward Rolling Woods Way.  Turned corner and increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131117 - hiking .3 miles up steeper hill.  Again about 2/3rd way up seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131118 - fatigued.  Slowed pace going downhill to Pine Hollow.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131119 - onto Pine Hollow and increased pace hiking 1 mile back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131120 - Valley Road.  Hiked West on Ygnacio Valley Road back to Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131121 - Road about 1 mile.  Turned corner onto Crystal Ranch Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131122 - short distance starting 2nd 4-mile loop.  Stopped at about 200 yards                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131123 - and returned. back to Crystal Ranch Road due to fatigue.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131124 - uphill on Ygnacio Valley Road.  Turned corner at Cowell and hiked home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131125 - for 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131127 -  ..
131128 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131129 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131130 - Dinner - rice hamburger onion asparagus mushrooms avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131132 -  ..
131133 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131137 -         ..
131138 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131139 -  348.  181212 0740..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131140 -               0800....BP HR..................................................... 158  88  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131141 -               0805....BP HR..................................................... 146  68  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131142 -               0810....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131143 -               0810... 20 17820 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131144 -               0810... 80 104240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131145 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131146 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131147 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131148 -               0810... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131149 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131150 -         **    0820....pushups......       20  3000 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131151 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131152 -          * cr 0940....miles...........  12.0  39.00  185  600 minutes temp  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131153 -               1310....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131154 -               1315....BP HR..................................................... 112  58  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131155 -               1320....BP HR..................................................... 107  61  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131156 -               1920... 40 39100 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131157 -             1 0000... 80 103920 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131158 -             1 0000............ 10 11130  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131159 -             1 0000............ 10 10720  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131160 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131161 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131162 -               0000... 40 17740 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131163 -               2030... 1000  320000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131164 -               2120....Tramadol 50  750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131165 -               2250... 80 104320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131167 -  ..
131168 - * cr - hiked Crystal Ranch Road 4 mile loop with 2 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131169 - 181029, 1st time hiking 4 in a row Crystal Ranch Road 4-mile loops, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131170 - part of daily hike. ref SDS 0 E55K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131172 -  ..
131173 - ** Pushups - today 20 on 181211 - resumed on 181207 after pausing on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131174 - 181113, military pushups again due to recurrent injury to muscle along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131175 - spinal column below neck, reported during hike yesterday, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131176 - ref SDS 0 SXYV  On 181104 resumed military pushups again after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131177 - on 181102, felt slight pain in back after 1st set 20 pushups, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131178 - paused again after previously resuming on 181028, doing military                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131179 - pushups with feet elevated on chair, after pausing again on 181021.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131180 - Tried them on 181020, ref SDS 0 HN5K, first time since 181007, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131181 - above. ref SDS 0 VW5N  No neck pain yesterday, so tried again today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131182 - 181028.  No neck pain during hike today, nor afterward.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131184 -  ..
131185 - Pullups - today none - on 181207, starting just half pullups with feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131186 - on ground using desk for pullup bar, so just half weight. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131187 - 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131189 -  ..
131190 - Orthopedic treatment PRP injections knees and feet on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131192 -               181212 1600, ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131193 -               180824 1530, ref SDS A8 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131194 -               180620 1530, ref SDS 94 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131195 -               180105 1630. ref SDS 80 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131196 -               170816 1400, ref SDS 63 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131197 -               170726 1600, ref SDS 58 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131199 -  ..
131200 - Orthopedic treatment Supartz injections knees at VA Clinic in Santa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131201 - Rosa, ordered by Doctor Thuillier at VAMCSF on 181025 0735.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131202 - ref SDS B3 ZY5G  Injections performed by Gina on...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131204 -               181126 1030. ref SDS B8 V54H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131205 -               181203 1010, ref SDS C2 CJ98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131206 -               181210 1030, ref SDS C4 CJ98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131208 -  ..
131209 - Blood pressure okay 127 70 today, ref SDS 0 FL5F, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131210 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131211 - yesterday, and heart rate okay today, after hiking 16 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131212 - on 181210. ref SDS 0 UH8L  BP today, 107 61 okay after hiking 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131213 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131215 -  ..
131216 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131217 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131218 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131219 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131221 -  ..
131222 - Weight - 172 this morning after hiking 16 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131223 - yesterday on 181210, per above. ref SDS 0 PPXW  Today, after hiking 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131224 - miles, weight 170; lost 2 pounds, per above. ref SDS 0 FL5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131226 -  ..
131227 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131228 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131229 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131230 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131231 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131232 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131233 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131234 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131235 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131236 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131237 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131238 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131239 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131240 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131241 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131242 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131243 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131245 -  ..
131246 - Pain medication - hiked 12 miles today, on 181212, taking 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131247 - Naproxen, after taking 2 pills Naproxen 250 mg on 181208, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131248 - facilitate hiking 21 miles. ref SDS 0 YQWT  Naproxen and ibuprofen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131249 - increase blood pressure, see on 181101, above, ref SDS 0 XT6N; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131250 - naproxen increases LDL in lab, as occurred on 181021 1541. ref SDS B2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131251 - KU6L  PRP treatment on 180824 1515, ref SDS A8 0001, reduced need for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131252 - pain medication.  NSAID's like naproxen and ibuprofen suppress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131253 - performance of PRP injections for a month or so, but benefits of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131254 - seem to be wearing off.  Acetaminophen 1000 mg causes intoxication                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131255 - that lowers HDL 30%.  Naproxex 1 pill 250 mg seems smaller and so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131256 - reduces risk getting stuck above LESV and causing ulceration.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131257 - like Naproxen pill (NSAID which conflicts with PRP line of care) got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131258 - stuck on 180702, reported on 180703, per above. ref SDS 0 SQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131259 - Hydrocodone does not raise blood pressure nor lower HDL, received on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131260 - 180730 1726. ref SDS A3 0O9K  Normally take 2 Naproxen or Hydrodocone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131261 - pills, but this increases chances of pills getting stuck above LESV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131262 - causing ulceration.  So, have switched to just 1 pill per day.  If not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131263 - adequate pain relief, can carry 2nd pill and take it after 2 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131264 - about half way through hike at mile 7 or so.  This should eliminate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131265 - acetaminophen and avoid ulceration of LESV, Acetaminophen began on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131266 - 170825, shown in case study on 160101 0700, ref SDS 37 7F6O - was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131267 - paused, in order to prevent side effects of lowering HDL 33%, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131268 - on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131271 -                                                    Pain Level   Day
131272 -         ..
131273 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131274 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131275 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131276 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131277 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131278 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131279 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131280 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131281 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131282 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131283 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131284 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131285 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131286 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131287 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131288 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131289 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131290 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131291 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131292 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131294 -  ..
131295 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131296 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131297 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131298 - no peripheral neuropathy in right foot entire 12 mile hike, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131299 - taking statins last night on 181211, per above. ref SDS 0 FL5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131301 -  ..
131302 - Legs and arms 6 hours after 12 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131303 - nutrients depleted, so took Tramadol. ref SDS 0 GM6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131305 -  ..
131306 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131307 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131309 -  ..
131310 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131311 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131312 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131314 -  ..
131315 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131316 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131317 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131318 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131319 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131321 -  ..
131322 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131323 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131325 -  ..
131326 - Left foot metatarsalgia - pain level 0 entire hike, aligns with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131327 - treatment on 180824, and wearing Hoka Bondi 6 shoes with superior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131328 - cushioning, wore past 2 days, beginning on 181127.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131329 - received 6th PRP injection treatment, reported on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131330 - ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131332 -  ..
131333 - Right foot metatarsalgia - pain level 0 entire hike, aligns with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131334 - treatment on 180824, and wearing Hoka Bondi 6 shoes with superior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131335 - cushioning, wore past 2 days, beginning on 181127.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131336 - received 6th PRP injection treatment, reported on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131337 - ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131339 -  ..
131340 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131341 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131342 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131343 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131344 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131346 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131347 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131348 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131349 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131350 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131351 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131352 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131353 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131354 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131355 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131356 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131357 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131358 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131359 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131360 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131361 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131362 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131363 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131364 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131365 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131366 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131367 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131368 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131369 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131370 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131371 -        again today.................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131373 -  ..
131374 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131375 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131377 -  ..
131378 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131379 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131380 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131381 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131382 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131384 -  ..
131385 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131386 - 181210 1030. ref SDS C4 CJ98  After the hike today, received 6th PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131387 - injection treatment, reported on 181212 1600. ref SDS C5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131388 - 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131390 -  ..
131391 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131392 - on 181210 1030. ref SDS C4 CJ98  After the hike today, received 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131393 - PRP injection treatment, reported on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131395 -  ..
131396 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131398 -  ..
131399 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131400 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131401 - on PRP treatment on 180620, per above, ref SDS 0 VTQT, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131402 - smartwool socks, and Ammonium Lactate 12% lotion applied daily.  New                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131403 - Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131404 - feet.  Breakthrough pain level 1 several times during hike for short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131405 - duration - not enough to prevent hiking 12 miles, and with taking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131406 - Naproxen 250 mg pill, per above. ref SDS 0 GM6O  During PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131407 - treatment today, Doctor Tucker injected Tailor's Bunions on both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131408 - reported on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131410 -  ..
131411 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131412 - ref SDS 22 HG3F  Did extra 1-mile loop at the end.  Starting energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131413 - good, very good rebound energy wearing again 1st pair Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131414 - shoes color alloy / steel grey and with orthotic inserts Lynn Flex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131415 - heel and Satallite Elite, per above. ref SDS 0 YTTY  Left knee pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131416 - level 0 - time to 1.25 miles 17 minutes.  Maintained pace on Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131417 - hiking concrete sidewalk, because 1st pair Bondi 6 wide shoes superior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131418 - cushioning protects against injuries to feet and knees.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131419 - onto Ygnacio Valley Road at mile 3.25.  Hiked to mile 3.5, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131420 - switched to asphault roadway.  About mile 3.8 crossed from North to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131421 - South Side to hike against Eastbound traffic flow.  Time mile 4.25 67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131422 - minutes.  Continuing on Ygnacio Valley Road going West hiking well,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131423 - without breakthrough pain nor peripehral neruopathy.  At mile 5 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131424 - level 0, so turned corner and hiked 4-mile loop on Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131425 - Good pace all the way going 1 mile uphill - no feeling of fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131426 - today, as occurred yesterday, per above. ref SDS 0 PSUV  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131427 - slowed pace on flat ground.  Normal pace going down steep hill toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131428 - Rolling Woods Way.  Turned corner and increased pace hiking .3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131429 - up steeper hill.  Slowed pace going downhill to Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131430 - corner onto Pine Hollow and increased pace hiking 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131431 - Ygnacio Valley Road.  Hiked West on Ygnacio Valley Road back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131432 - Crystal Ranch Road about 1 mile.  Feeling right foot middle toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131433 - plantar plate/metatarsal, so decided not to hike another 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131434 - Continued uphill on Ygnacio Valley Road.  Turned corner at Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131435 - hiked home; did 1 additional mile loop for 12 mile hike.  After hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131436 - Kathy drove us to Novato, where Doctor Gloria Tucker performed 6th PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131437 - injection treatment on feet and knees, reported on 181212 1600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131438 - ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131440 -  ..
131441 - Breakfast - cheerios chia seeds milk with Naproxen 1 pill 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131442 - Lunch - half hamburger few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131443 - Dinner - macaroni cheese hamburger onion asparagus celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131445 -  ..
131446 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131450 -         ..
131451 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131452 -  349.  181213 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131453 -               0820....BP HR..................................................... 132  65  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131454 -               0825....BP HR..................................................... 131  64  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131455 -               0830....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131456 -               0830... 20 17840 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131457 -               0830... 80 104400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131458 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131459 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131460 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131461 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131462 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131463 -         **    0000....pushups......       20  3000 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131464 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131465 -             1 0000... 40 39100 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131466 -               1700... 80 104480 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131467 -               1830............ 10 11140  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131468 -               1830............ 10 10730  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131469 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131470 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131471 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131472 -               2020... 40 17780 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131473 -               2110... 1000  321000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131474 -               2240... 80 104560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131476 -  ..
131477 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131478 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131480 -  ..
131481 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131482 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131484 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131485 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131486 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131488 -     ..
131489 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131491 -     ..
131492 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131493 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131494 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131496 -     ..
131497 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131498 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131499 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131500 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131502 -     ..
131503 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131504 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131505 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131507 -     ..
131508 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131510 -  ..
131511 - Blood pressure okay 131 64 today, ref SDS 0 WN4I, conflicts with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131512 - taking Naproxen yesterday, but aligns with not taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131513 - yesterday, and heart rate okay today, after hiking 12 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131514 - on 181212. ref SDS 0 GM6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131516 -  ..
131517 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131518 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131519 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131520 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131522 -  ..
131523 - Weight - 172 this morning after hiking 12 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131524 - yesterday on 181212, per above. ref SDS 0 PWPY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131526 -  ..
131527 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131528 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131529 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131530 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131531 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131532 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131533 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131534 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131535 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131536 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131537 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131538 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131539 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131540 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131541 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131542 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131543 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131544 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131546 -  ..
131547 - Hiking - none today, feet and knees recovering from PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131548 - treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131550 -  ..
131551 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131552 - Lunch - half hamburber few fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131553 - Dinner - half hamburger fries donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131555 -  ..
131556 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131560 -         ..
131561 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131562 -  350.  181214 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131563 -               1020....BP HR..................................................... 140  72  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131564 -               1025....BP HR..................................................... 132  68  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131565 -               1030....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131566 -               1030... 20 17860 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131567 -               1030... 80 104640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131568 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131569 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131570 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131571 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131572 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131573 -         **    0000....pushups......       20  3000 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131574 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131575 -               1700... 40 39140 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131576 -             1 0000... 80 104480 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131577 -             1 0000............ 10 11140  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131578 -             1 0000............ 10 10730  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131579 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131580 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131581 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131582 -               2020... 40 17820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131583 -               2050... 1000  322000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131584 -               2210... 80 104720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131586 -  ..
131587 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131588 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131590 -  ..
131591 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131592 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131594 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131595 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131596 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131598 -     ..
131599 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131601 -     ..
131602 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131603 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131604 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131606 -     ..
131607 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131608 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131609 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131610 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131612 -     ..
131613 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131614 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131615 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131617 -     ..
131618 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131620 -  ..
131621 - Blood pressure okay 132 68 today, ref SDS 0 M85O, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131622 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131623 - yesterday, and heart rate okay today, after hiking 0 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131624 - on 181213. ref SDS 0 WN4I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131626 -  ..
131627 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131628 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131629 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131630 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131632 -  ..
131633 - Weight - 172 this morning after hiking 0 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131634 - yesterday on 181213, per above. ref SDS 0 QPQV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131636 -  ..
131637 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131638 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131639 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131640 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131641 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131642 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131643 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131644 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131645 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131646 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131647 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131648 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131649 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131650 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131651 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131652 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131653 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131654 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131655 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131657 -  ..
131658 - Hiking - none today, feet and knees recovering from PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131659 - treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131661 -  ..
131662 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131663 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131664 - Dinner - macaroni cheese hamburger onion asparagus celery, half donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131665 - milk chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131667 -  ..
131668 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131673 -         ..
131674 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131675 -  351.  181215 0730..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131676 -               0750....BP HR..................................................... 125  67  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131677 -               0755....BP HR..................................................... 124  69  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131678 -               0800....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131679 -               0800... 20 17880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131680 -               0800... 80 104800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131681 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131682 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131683 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131684 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131685 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131686 -         **    0815....pushups......       20  3020 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131687 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131688 -          * cr 1110....miles...........   2.0  41.00   34  634 minutes temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131689 -               1325....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131690 -               1340....BP HR..................................................... 111  64  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131691 -               1345....BP HR..................................................... 114  66  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131692 -             1 0000... 40 39140 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131693 -               1700... 80 104880 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131694 -               1830............ 10 11150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131695 -               1830............ 10 10740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131696 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131697 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131698 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131699 -               2020... 40 17820 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131700 -               2110... 1000  323000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131701 -               2240... 80 104960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131703 -  ..
131704 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131705 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131707 -  ..
131708 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131709 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131711 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131712 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131713 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131715 -     ..
131716 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131718 -     ..
131719 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131720 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131721 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131723 -     ..
131724 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131725 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131726 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131727 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131729 -     ..
131730 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131731 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131732 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131734 -     ..
131735 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131737 -  ..
131738 - Blood pressure okay 124 69 today, ref SDS 0 PYTR, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131739 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131740 - yesterday, and heart rate okay today, after hiking 0 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131741 - on 181214. ref SDS 0 M85O  BP after hiking 2 miles 111 64. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131742 - PYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131744 -  ..
131745 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131746 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131747 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131748 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131750 -  ..
131751 - Weight - 175 this morning after hiking 0 miles and after eating more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131752 - yesterday on 181214, per above. ref SDS 0 PYRY  Today, after hiking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131753 - miles, weight 172; lost 3 pounds, per above. ref SDS 0 PYTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131755 -  ..
131756 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131757 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131758 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131759 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131760 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131761 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131762 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131763 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131764 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131765 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131766 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131767 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131768 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131769 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131770 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131771 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131772 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131773 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131774 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131775 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131777 -  ..
131778 - Lafayette Reservoir hiking up and down the dam only 2 miles slow, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131779 - rehab PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131781 -  ..
131782 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131783 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131784 - Dinner - macaroni cheese hamburger tuna onion asparagus celery, donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131785 - milk, chips, toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131787 -  ..
131788 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131793 -         ..
131794 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131795 -  352.  181216 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131796 -               0830....BP HR..................................................... 134  74  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131797 -               0835....BP HR..................................................... 126  67  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131798 -               0840....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131799 -               0840... 20 17880 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131800 -               0840... 80 104800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131801 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131802 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131803 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131804 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131805 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131806 -         **    0930....pushups......       20  3040 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131807 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131808 -          * cr 1140....miles...........   1.0  42.00   18  652 minutes temp  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131809 -               1355....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131810 -               1400....BP HR..................................................... 121  64  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131811 -               1405....BP HR..................................................... 119  68  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131812 -               1700... 40 39140 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131813 -             1 0000... 80 104880 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131814 -             1 0000............ 10 11150  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131815 -             1 0000............ 10 10740  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131816 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131817 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131818 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131819 -               2010... 40 17860 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131820 -               2040... 1000  323000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131821 -               2210... 80 104960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131823 -  ..
131824 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131825 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131827 -  ..
131828 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131829 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131831 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131832 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131833 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131835 -     ..
131836 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131838 -     ..
131839 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131840 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131841 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131843 -     ..
131844 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131845 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131846 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131847 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131849 -     ..
131850 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131851 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131852 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131854 -     ..
131855 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131857 -  ..
131858 - Blood pressure okay 126 67 today, ref SDS 0 QPVQ, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131859 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131860 - yesterday, and heart rate okay today, after hiking 2 miles yesterday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131861 - on 181215. ref SDS 0 PYTR  BP after hiking 1 miles 119 68. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131862 - QPVQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131864 -  ..
131865 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131866 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131867 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131868 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131870 -  ..
131871 - Weight - 173 this morning after hiking 2 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131872 - yesterday on 181215, per above. ref SDS 0 QPTS  Today, after hiking 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131873 - miles, weight 172; lost 1 pound, per above. ref SDS 0 QPVQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131875 -  ..
131876 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131877 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131878 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131879 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131880 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131881 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131882 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131883 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131884 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131885 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131886 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131887 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131888 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131889 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131890 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131891 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131892 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131893 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131894 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131895 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131896 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131897 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131899 -  ..
131900 - Lafayette Reservoir hiking up and down the dam only 1 mile slow, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131901 - rehab PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131903 -  ..
131904 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131905 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131906 - Dinner - pasta hamburger onion squash cauliflower celery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131908 -  ..
131909 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131913 -         ..
131914 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131915 -  353.  181217 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131916 -               0820....BP HR..................................................... 116  67  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131917 -               0825....BP HR..................................................... 112  63  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131918 -               0830....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131919 -               0830... 20 17900 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131920 -               0830... 80 105040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131921 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131922 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131923 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131924 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131925 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131926 -         **    0930....pushups......       20  3080 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131927 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131928 -          * cr 1150....miles...........   2.0   2.0    34   34 minutes temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131929 -               1355....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131930 -               1225....BP HR..................................................... 104  66  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131931 -               1230....BP HR..................................................... 115  64  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131932 -             1 0000... 40 39140 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131933 -               1630... 80 105120 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131934 -               1830............ 10 11160  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131935 -               1830............ 10 10750  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131936 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131937 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131938 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131939 -               1930... 40 17900 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131940 -               2040... 1000  324000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131941 -               2210... 80 105200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131943 -  ..
131944 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131945 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131947 -  ..
131948 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131949 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131951 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131952 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131953 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131955 -     ..
131956 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131958 -     ..
131959 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131960 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131961 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131963 -     ..
131964 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131965 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131966 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131967 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131969 -     ..
131970 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131971 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131972 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131974 -     ..
131975 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131977 -  ..
131978 - Blood pressure very good 112 63 today, ref SDS 0 ZE5H, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131979 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131980 - yesterday, and heart rate okay today, after hiking 1 mile yesterday on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131981 - 181216. ref SDS 0 QPVQ  BP after hiking 2 miles 104 66. ref SDS 0 ZE5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131983 -  ..
131984 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131985 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131986 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131987 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131989 -  ..
131990 - Weight - 175 this morning after hiking 1 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131991 - yesterday on 181216, per above. ref SDS 0 QQWQ  Today, after hiking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131992 - miles, weight 174; lost 1 pound, per above. ref SDS 0 ZE5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131994 -  ..
131995 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131996 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131997 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131998 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131999 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132000 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132001 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132002 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132003 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132004 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132005 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132006 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132007 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132008 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132009 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132010 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132011 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132012 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132013 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132014 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132015 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132016 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132018 -  ..
132019 - Walked around the block slowly 2 times for 2 miles to rehab PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132020 - treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132022 -  ..
132023 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132024 - Lunch - half hamburger few fries, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132025 - Dinner - eggs bacon asparagus squash toast avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132027 -  ..
132028 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132032 -         ..
132033 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132034 -  354.  181218 0430..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132035 -               0630....BP HR..................................................... 131  72  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132036 -               0635....BP HR..................................................... 123  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132037 -               0640....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132038 -               0640... 20 17920 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132039 -               0000... 80 105040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132040 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132041 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132042 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132043 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132044 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132045 -         **    0645....pushups......       40  3120 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132046 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132047 -               1150....miles...........   2.0   4.0    36   70 minutes temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132048 -               1340....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132049 -               1345....BP HR..................................................... 124  66  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132050 -               1350....BP HR..................................................... 119  71  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132051 -               1740... 40 39180 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132052 -             1 0000... 80 105120 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132053 -             1 0000............ 10 11160  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132054 -             1 0000............ 10 10750  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132055 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132056 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132057 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132058 -               1940... 40 17940 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132059 -               2040... 1000  325000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132060 -               2210... 80 105280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132062 -  ..
132063 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132064 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132066 -  ..
132067 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132068 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132070 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132071 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132072 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132074 -     ..
132075 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132077 -     ..
132078 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132079 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132080 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132082 -     ..
132083 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132084 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132085 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132086 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132088 -     ..
132089 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132090 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132091 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132093 -     ..
132094 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132096 -  ..
132097 - Blood pressure very good 112 63 today, ref SDS 0 ZE5H, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132098 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132099 - yesterday, and heart rate okay today, after hiking 1 mile yesterday on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132100 - 181216. ref SDS 0 QPVQ  BP after hiking 2 miles 104 66. ref SDS 0 ZE5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132102 -  ..
132103 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132104 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132105 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132106 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132108 -  ..
132109 - Weight - 175 this morning after hiking 1 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132110 - yesterday on 181216, per above. ref SDS 0 QQWQ  Today, after hiking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132111 - miles, weight 174; lost 1 pound, per above. ref SDS 0 ZE5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132113 -  ..
132114 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132115 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132116 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132117 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132118 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132119 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132120 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132121 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132122 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132123 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132124 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132125 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132126 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132127 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132128 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132129 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132130 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132131 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132132 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132133 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132134 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132135 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132136 -        181218....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132138 -  ..
132139 - Walked around the hospital and then Costco for 2 miles to rehab PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132140 - treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132142 -  ..
132143 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132144 - Lunch - half hamburger few fries, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132145 - Dinner - pasta hamburger onion asparagus avocado beer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132147 -  ..
132148 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132152 -         ..
132153 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132154 -  355.  181219 0720..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132155 -               0740....BP HR..................................................... 135  69  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132156 -               0745....BP HR..................................................... 125  64  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132157 -               0750....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132158 -               0750... 20 17940 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132159 -               0750... 80 105360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132160 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132161 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132162 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132163 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132164 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132165 -         **    0900....pushups......       40  3160 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132166 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132167 -               1740... 40 39220 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132168 -             1 0000... 80 105120 Famotidine H2 Blocker supplement on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132169 -               1830............ 10 11170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132170 -               1830............ 10 10760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132171 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132172 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132173 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132174 -               1940... 40 17980 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132175 -               2040... 1000  326000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132176 -               2210... 80 105440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132178 -  ..
132179 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132180 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132182 -  ..
132183 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132184 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132186 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132187 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132188 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132190 -     ..
132191 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132193 -     ..
132194 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132195 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132196 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132198 -     ..
132199 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132200 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132201 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132202 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132204 -     ..
132205 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132206 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132207 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132209 -     ..
132210 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132212 -  ..
132213 - Blood pressure good 125 64 today, ref SDS 0 QTRQ, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132214 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132215 - yesterday, and heart rate okay today, after hiking 2 mile yesterday on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132216 - 181218. ref SDS 0 EL3G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132218 -  ..
132219 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132220 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132221 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132222 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132224 -  ..
132225 - Weight - 174 this morning after hiking 2 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132226 - yesterday on 181218, per above. ref SDS 0 QTPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132228 -  ..
132229 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132230 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132231 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132232 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132233 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132234 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132235 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132236 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132237 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132238 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132239 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132240 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132241 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132242 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132243 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132244 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132245 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132246 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132247 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132248 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132249 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132250 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132251 -        181218....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132252 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132254 -  ..
132255 - Walked around the hospital and then Costco for 2 miles to rehab PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132256 - treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132258 -  ..
132259 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132260 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132261 - Dinner - pasta hamburger onion asparagus avocado, donut milk, chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132263 -  ..
132264 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132269 -         ..
132270 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132271 -  356.  181220 0705..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132272 -               0720....BP HR..................................................... 124  69  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132273 -               0725....BP HR..................................................... 117  62  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132274 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132275 -               0730... 20 17960 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132276 -               0730... 80 105520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132277 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132278 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132279 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132280 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132281 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132282 -         **    0900....pushups......       40  3200 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132283 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132284 -               1130....miles...........   7.0  11.00  111  181 minutes temp  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132285 -               1320....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132286 -               1415....BP HR..................................................... 115  67  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132287 -               1420....BP HR..................................................... 115  64  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132288 -               1700... 40 39260 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132289 -             1 0000............ 10 11170  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132290 -             1 0000............ 10 10760  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132291 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132292 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132293 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132294 -               1940... 40 18020 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132295 -               2040... 1000  327000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132296 -               2210... 80 105600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132298 -  ..
132299 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132300 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132302 -  ..
132303 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132304 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132306 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132307 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132308 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132310 -     ..
132311 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132313 -     ..
132314 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132315 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132316 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132318 -     ..
132319 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132320 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132321 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132322 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132324 -     ..
132325 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132326 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132327 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132329 -     ..
132330 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132332 -  ..
132333 - Blood pressure good 125 64 today, ref SDS 0 MF6O, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132334 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132335 - yesterday, and heart rate okay today, after hiking 0 mile yesterday on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132336 - 181219. ref SDS 0 QTRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132338 -  ..
132339 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132340 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132341 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132342 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132344 -  ..
132345 - Weight - 176 this morning after hiking 0 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132346 - yesterday on 181219, per above. ref SDS 0 QUSQ  Today, after hiking 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132347 - miles, weight 174; lost 2 pound, per above. ref SDS 0 MF6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132349 -  ..
132350 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132351 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132352 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132353 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132354 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132355 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132356 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132357 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132358 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132359 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132360 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132361 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132362 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132363 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132364 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132365 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132366 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132367 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132368 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132369 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132370 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132371 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132372 -        181218....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132373 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132374 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132376 -  ..
132377 - Pain medication - none - Naproxen and ibuprofen increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132378 - pressure, see on 181101, above, ref SDS 0 XT6N; and naproxen increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132379 - LDL in lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132380 - on 181212 1600, ref SDS C5 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132381 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132382 - injections for a month or so, but become increasingly needed as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132383 - benefits of PRP wear off after 3 months.  Acetaminophen 1000 mg causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132384 - intoxication that lowers HDL 30%.  Naproxex 1 pill 250 mg seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132385 - smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132386 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132387 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132388 - ref SDS 0 SQTY  Hydrocodone does not raise blood pressure nor lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132389 - HDL, received on 180730 1726. ref SDS A3 0O9K  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132390 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132391 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132392 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132393 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132394 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132395 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132396 - ref SDS 37 7F6O - was paused, in order to prevent side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132397 - lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132400 -                                                    Pain Level   Day
132401 -         ..
132402 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132403 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132404 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132405 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132406 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132407 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132408 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132409 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132410 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132411 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132412 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132413 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132414 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132415 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132416 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132417 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132418 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132419 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132420 -        Burning sensation right foot.................   0         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132421 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132423 -  ..
132424 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132425 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132426 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132427 - no peripheral neuropathy in right foot entire 7 mile hike, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132428 - taking statins last night on 181219, per above. ref SDS 0 QTRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132430 -  ..
132431 - Legs and arms 6 hours after 7 mile hike, not feeling anxious like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132432 - oxygen nutrients depleted, so did not take Tramadol. ref SDS 0 MF6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132434 -  ..
132435 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132436 - orthotic inserts.  This 2nd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132437 - SM4M  These shoes do not seem to have cushioning like 1st pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132438 - reported on 181209, above. ref SDS 0 YTTY  These might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132439 - interchangeable with Bondi 5 shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132441 -  ..
132442 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132443 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132445 -  ..
132446 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132447 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132448 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132450 -  ..
132451 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132452 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132453 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132454 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132455 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132457 -  ..
132458 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132459 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132461 -  ..
132462 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132463 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132464 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132466 -  ..
132467 - Right foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132468 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132469 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132471 -  ..
132472 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132473 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132474 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132475 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132476 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132478 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132479 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132480 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132481 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132482 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132483 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132484 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132485 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132486 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132487 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132488 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132489 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132490 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132491 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132492 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132493 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132494 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132495 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132496 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132497 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132498 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132499 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132500 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132501 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132502 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132503 -        again today.................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132505 -  ..
132506 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132507 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132509 -  ..
132510 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132511 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132512 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132513 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132514 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132516 -  ..
132517 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132518 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132519 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132521 -  ..
132522 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132523 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132524 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132526 -  ..
132527 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132529 -  ..
132530 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132531 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132532 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132533 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132534 - Injury protected wearing smartwool socks, and Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132535 - lotion applied daily.  New Bondi 6 Wide shoes received on 181127 1805,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132536 - ref SDS C1 SM4M, protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132538 -  ..
132539 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132540 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132541 - energy good and good rebound energy wearing 2nd pair Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132542 - shoes color grey and with orthotic inserts Lynn Flex heel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132543 - Satallite Elite, per above. ref SDS 0 YTTY  Left knee pain level 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132544 - time to 1.25 miles 17 minutes.  Maintained fast pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132545 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132546 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132547 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132548 - traffic flow.  Time mile 4.25 64 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132549 - Valley Road going West hiking without breakthrough pain nor peripehral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132550 - neruopathy.  At mile 5 pain level 0, but did not turn corner and hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132551 - 4-mile loop on Crystal Ranch Road - still re-habing PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132552 - 181212. ref SDS C5 0001  Continued uphill on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132553 - Turned corner at Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132555 -  ..
132556 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132557 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132558 - Dinner - eggs onion asparagus avocado cottage cheese, hamburger chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132560 -  ..
132561 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132565 -         ..
132566 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132567 -  357.  181221 0715..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132568 -               0720....BP HR..................................................... 132  70  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132569 -               0725....BP HR..................................................... 126  69  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132570 -               0740....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132571 -               0730... 20 17980 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132572 -               0730... 80 105680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132573 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132574 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132575 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132576 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132577 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132578 -         **    0745....pushups......       40  3240 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132579 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132580 -               0810....miles...........   7.0  18.00   98  279 minutes temp  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132581 -               1005....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132582 -               1010....BP HR..................................................... 114  58  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132583 -               1015....BP HR..................................................... 112  59  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132584 -               1700... 40 39260 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132585 -               1830............ 10 11180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132586 -               1830............ 10 10770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132587 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132588 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132589 -               1940... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132590 -               1950... 40 18060 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132591 -               2040... 1000  328000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132592 -               2210... 80 105760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132594 -  ..
132595 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132596 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132598 -  ..
132599 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132600 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132602 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132603 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132604 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132606 -     ..
132607 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132609 -     ..
132610 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132611 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132612 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132614 -     ..
132615 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132616 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132617 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132618 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132620 -     ..
132621 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132622 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132623 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132625 -     ..
132626 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132628 -  ..
132629 - Blood pressure good 126 69 today, ref SDS 0 HM6M, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132630 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132631 - yesterday, and heart rate okay today.  BP okay 112 59, after hiking 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132632 - miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132635 -  ..
132636 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132637 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132638 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132639 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132641 -  ..
132642 - Weight - 174 this morning after hiking 7 miles and after eating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132643 - yesterday on 181220, per above. ref SDS 0 QXTQ  Today, after hiking 7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132644 - miles, weight 172; lost 2 pounds, per above. ref SDS 0 HM6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132646 -  ..
132647 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132648 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132649 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132650 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132651 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132652 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132653 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132654 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132655 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132656 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132657 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132658 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132659 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132660 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132661 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132662 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132663 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132664 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132665 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132666 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132667 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132668 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132669 -        181218....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132670 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132671 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132672 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132674 -  ..
132675 - Pain medication - none - Naproxen and ibuprofen increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132676 - pressure, see on 181101, above, ref SDS 0 XT6N; and naproxen increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132677 - LDL in lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132678 - on 181212 1600, ref SDS C5 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132679 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132680 - injections for a month or so, but become increasingly needed as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132681 - benefits of PRP wear off after 3 months.  Acetaminophen 1000 mg causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132682 - intoxication that lowers HDL 30%.  Naproxex 1 pill 250 mg seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132683 - smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132684 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132685 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132686 - ref SDS 0 SQTY  Hydrocodone does not raise blood pressure nor lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132687 - HDL, received on 180730 1726. ref SDS A3 0O9K  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132688 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132689 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132690 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132691 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132692 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132693 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132694 - ref SDS 37 7F6O - was paused, in order to prevent side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132695 - lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132698 -                                                    Pain Level   Day
132699 -         ..
132700 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132701 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132702 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132703 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132704 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132705 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132706 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132707 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132708 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132709 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132710 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132711 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132712 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132713 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132714 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132715 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132716 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132717 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132718 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132719 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132721 -  ..
132722 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132723 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132724 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132725 - no peripheral neuropathy in right foot entire 7 mile hike, after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132726 - taking statins last night on 181220, per above. ref SDS 0 MF6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132728 -  ..
132729 - Legs and arms 6 hours after 7 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132730 - nutrients depleted, but did not take Tramadol. ref SDS 0 HM6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132732 -  ..
132733 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132734 - orthotic inserts.  This 2nd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132735 - SM4M  These shoes do not seem to have cushioning like 1st pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132736 - reported on 181209, above. ref SDS 0 YTTY  These might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132737 - interchangeable with Bondi 5 shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132739 -  ..
132740 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132741 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132743 -  ..
132744 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132745 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132746 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132748 -  ..
132749 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132750 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132751 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132752 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132753 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132755 -  ..
132756 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132757 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132759 -  ..
132760 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132761 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132762 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132764 -  ..
132765 - Right foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132766 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132767 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132769 -  ..
132770 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132771 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132772 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132773 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132774 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132776 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132777 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132778 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132779 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132780 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132781 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132782 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132783 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132784 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132785 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132786 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132787 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132788 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132789 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132790 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132791 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132792 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132793 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132794 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132795 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132796 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132797 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132798 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132799 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132800 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132801 -        again today.................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132803 -  ..
132804 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132805 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132807 -  ..
132808 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132809 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132810 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132811 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132812 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132814 -  ..
132815 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132816 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132817 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132819 -  ..
132820 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132821 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132822 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132824 -  ..
132825 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132827 -  ..
132828 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132829 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132830 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132831 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132832 - Injury protected wearing smartwool socks, and Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132833 - lotion applied daily.  New Bondi 6 Wide shoes received on 181127 1805,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132834 - ref SDS C1 SM4M, protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132836 -  ..
132837 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132838 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132839 - energy good and good rebound energy wearing 2nd pair Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132840 - shoes color grey and with orthotic inserts Lynn Flex heel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132841 - Satallite Elite, per above. ref SDS 0 YTTY  Left knee pain level 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132842 - time to 1.25 miles 17 minutes.  Maintained pace on Clayton hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132843 - concrete sidewalk.  Turned corner onto Ygnacio Valley Road at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132844 - 3.25.  Hiked to mile 3.5, then switched to asphault roadway.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132845 - mile 3.8 crossed from North to South Side to hike against Eastbound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132846 - traffic flow.  Time mile 4.25 65 minutes.  Continuing on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132847 - Valley Road going West hiking without breakthrough pain nor peripehral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132848 - neruopathy.  At mile 5 pain level 0, but did not turn corner and hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132849 - 4-mile loop on Crystal Ranch Road - still re-habing PRP treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132850 - 181212. ref SDS C5 0001  Continued uphill on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132851 - Turned corner at Cowell and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132853 -  ..
132854 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132855 - Lunch - half hamburger and some fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132856 - Dinner - half hamburger and some fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132858 -  ..
132859 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132863 -         ..
132864 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132865 -  358.  181222 0600..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132866 -               0650....BP HR..................................................... 132  73  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132867 -               0655....BP HR..................................................... 117  72  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132868 -               0700....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132869 -               0700... 20 18000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132870 -               0700... 80 105840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132871 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132872 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132873 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132874 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132875 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132876 -         **    0800....pushups......       40  3280 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132877 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132878 -               1210....miles...........  11.0  29.00  165  450 minutes temp  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132879 -               1510....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132880 -               1530....BP HR..................................................... 103  59 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132881 -               1535....BP HR..................................................... 100  58  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132882 -               1545... 40 39300 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132883 -             1 0000............ 10 11180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132884 -             1 0000............ 10 10770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132885 -               0000....Tramadol 50  700                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132886 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132887 -               1940... 40 18100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132888 -               2040... 1000  329000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132889 -               2105... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132890 -               2210... 80 105920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132892 -  ..
132893 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132894 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132896 -  ..
132897 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132898 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132900 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132901 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132902 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132904 -     ..
132905 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132907 -     ..
132908 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132909 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132910 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132912 -     ..
132913 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132914 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132915 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132916 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132918 -     ..
132919 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132920 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132921 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132923 -     ..
132924 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132926 -  ..
132927 - Blood pressure good 126 69 today, ref SDS 0 HM6M, aligns with not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132928 - taking Naproxen yesterday, but conflicts with taking Mylanta                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132929 - yesterday, ref SDS 0 HM6M; and heart rate okay today.  BP okay 100 58,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132930 - after hiking 11 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132933 -  ..
132934 - BPPV - dizziness - not noticably wobbly and dizzy getting up from bed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132935 - this morning - 1st time since treatment by Doctor Wiseman on 180919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132936 - 0800. ref SDS B1 RS5F  Significant improvement from 181019, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132937 - ref SDS 0 XQQT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132939 -  ..
132940 - Weight - 172 this morning after hiking 7 miles and after eating less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132941 - yesterday on 181221, per above. ref SDS 0 RQRU  Today, after hiking 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132942 - miles, weight 169; lost 3 pounds, per above. ref SDS 0 RF6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132944 -  ..
132945 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132946 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132947 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132948 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132949 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132950 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132951 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132952 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132953 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132954 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132955 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132956 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132957 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132958 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132959 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132960 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132961 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132962 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132963 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132964 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132965 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132966 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132967 -        181218....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132968 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132969 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132970 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132971 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132973 -  ..
132974 - Pain medication - none - Naproxen and ibuprofen increase blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132975 - pressure, see on 181101, above, ref SDS 0 XT6N; and naproxen increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132976 - LDL in lab, as occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132977 - on 181212 1600, ref SDS C5 0001, reduced need for pain medication.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132978 - NSAID's like naproxen and ibuprofen suppress performance of PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132979 - injections for a month or so, but become increasingly needed as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132980 - benefits of PRP wear off after 3 months.  Acetaminophen 1000 mg causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132981 - intoxication that lowers HDL 30%.  Naproxex 1 pill 250 mg seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132982 - smaller and so reduces risk getting stuck above LESV and causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132983 - ulceration.  Seemed like Naproxen pill (NSAID which conflicts with PRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132984 - line of care) got stuck on 180702, reported on 180703, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132985 - ref SDS 0 SQTY  Hydrocodone does not raise blood pressure nor lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132986 - HDL, received on 180730 1726. ref SDS A3 0O9K  Normally take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132987 - Naproxen or Hydrodocone pills, but this increases chances of pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132988 - getting stuck above LESV causing ulceration.  So, have switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132989 - just 1 pill per day.  If not adequate pain relief, can carry 2nd pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132990 - and take it after 2 hours about half way through hike at mile 7 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132991 - This should eliminate acetaminophen and avoid ulceration of LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132992 - Acetaminophen began on 170825, shown in case study on 160101 0700,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132993 - ref SDS 37 7F6O - was paused, in order to prevent side effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132994 - lowering HDL 33%, reported on 180724 1645. ref SDS A1 EZ7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132997 -                                                    Pain Level   Day
132998 -         ..
132999 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133000 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133001 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133002 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133003 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133004 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133005 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133006 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133007 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133008 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133009 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133010 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133011 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133012 -        Metatarsalgia right foot.....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133013 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133014 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133015 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133016 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133017 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133018 -        Peripheral neruopathy right foot.............   0         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133020 -  ..
133021 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133022 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133023 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133024 - peripheral neuropathy in right foot after about 1.5 miles and for next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133025 - 2 miles, after taking statins last night on 181221, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133026 - ref SDS 0 HM6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133028 -  ..
133029 - Legs and arms 6 hours after 7 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133030 - nutrients depleted, but did not take Tramadol. ref SDS 0 MF6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133032 -  ..
133033 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133034 - orthotic inserts.  This 2nd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133035 - SM4M  These shoes have cushioning like 1st pair reported on 181209,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133036 - above. ref SDS 0 YTTY  Much better than Bondi 5 shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133038 -  ..
133039 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133040 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133042 -  ..
133043 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133044 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133045 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133047 -  ..
133048 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133049 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133050 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133051 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133052 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133054 -  ..
133055 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133056 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133058 -  ..
133059 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133060 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133061 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133063 -  ..
133064 - Right foot metatarsalgia - pain level 2 at about mile 4 until about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133065 - mile 5, then subsided going uphill on Crystal Ranch Road; seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133066 - conflicting with getting 6th PRP treatment on 181212 1600, ref SDS C5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133067 - 0001, and wearing Hoka Bondi 6 shoes with good cushioning, beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133068 - on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133070 -  ..
133071 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133072 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133073 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133074 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133075 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133077 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133078 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133079 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133080 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133081 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133082 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133083 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133084 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133085 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133086 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133087 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133088 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133089 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133090 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133091 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133092 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133093 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133094 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133095 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133096 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133097 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133098 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133099 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133100 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133101 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133102 -        again.......................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133103 -        again today.................... 181222, ref SDS 0 RSSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133105 -  ..
133106 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133107 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133109 -  ..
133110 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133111 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133112 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133113 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133114 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133116 -  ..
133117 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133118 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133119 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133121 -  ..
133122 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133123 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133124 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133126 -  ..
133127 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133129 -  ..
133130 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133131 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133132 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133133 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133134 - Injury protected wearing smartwool socks, and Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133135 - lotion applied daily.  New Bondi 6 Wide shoes received on 181127 1805,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133136 - ref SDS C1 SM4M, protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133138 -  ..
133139 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133140 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133141 - energy good and good rebound energy hiking fast wearing 3rd pair Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133142 - 6 wide shoes color grey and with orthotic inserts Lynn Flex heel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133143 - Satallite Elite, per above. ref SDS 0 YTTY  Time to 1.25 miles 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133144 - minutes.  Maintained fast pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133145 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133146 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133147 - North to South Side to hike against Eastbound traffic flow.  Hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133148 - fast pace felt mild peripehral neruopathy right foot.  Time mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133149 - 62 minutes.  Continuing on Ygnacio Valley Road going West hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133150 - without breakthrough pain.  At mile 5 pain level 0, so turned on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133151 - Crystal Ranch Road and did 4-mile loop.  Good pace all the way going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133152 - 1 mile uphill.  Peripheral neuropathy right foot ended 1st .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133153 - miles uphill.  Feeling fatigue last .25 miles, but maintained fast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133154 - pace to summit.  Slowed pace at summit on flat ground.  Normal pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133155 - going down steep hill toward Rolling Woods Way.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133156 - increased pace hiking .3 miles up steeper hill.  Slowed pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133157 - downhill to Pine Hollow.  Turned corner onto Pine Hollow and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133158 - pace hiking 1 mile back to Ygnacio Valley Road.  Hiked fast pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133159 - West on Ygnacio Valley Road back to Crystal Ranch Road about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133160 - Feeling right foot metatarsalgia, so decided not to hike another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133161 - 4-mile loop.  Continued uphill on Ygnacio Valley Road.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133162 - at Cowell and hiked home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133164 -  ..
133165 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133166 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133167 - Dinner - steak mashed potatoes lettuce onion avocado tomato mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133168 - cumcumber, cookie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133170 -  ..
133171 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133175 -         ..
133176 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133177 -  359.  181223 0750..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133178 -               0800....BP HR..................................................... 124  61  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133179 -               0805....BP HR..................................................... 121  62  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133180 -               0810....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133181 -               0810... 20 18000 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133182 -               0810... 80 105840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133183 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133184 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133185 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133186 -               0000... Naproxen (Aleve) 1 pill 250  69950 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133187 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133188 -         **    0900....pushups......       40  3320 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133189 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133190 -               1140....miles...........  15.0  44.00  228  678 minutes temp  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133191 -               1450....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133192 -               1500....BP HR..................................................... 114  70 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133193 -               1505....BP HR..................................................... 106  69  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133194 -               1700... 40 39300 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133195 -               1830............ 10 11180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133196 -               1830............ 10 10770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133197 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133198 -               1940... 40 18100 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133199 -               2000....Tramadol 50  750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133200 -               2040... 1000  329000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133201 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133202 -               2210... 80 105920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133204 -  ..
133205 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133206 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133208 -  ..
133209 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133210 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133212 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133213 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133214 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133216 -     ..
133217 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133219 -     ..
133220 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133221 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133222 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133224 -     ..
133225 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133226 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133227 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133228 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133230 -     ..
133231 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133232 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133233 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133235 -     ..
133236 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133238 -  ..
133239 - Vitals Morning             After hiking        Date                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133240 -     BP    Hr   Wt     Miles    BP    HR   WT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133241 -   121 62  52  174       15  106 69   99  170   181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133245 -  ..
133246 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133247 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133248 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133249 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133250 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133251 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133252 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133253 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133254 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133255 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133256 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133257 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133258 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133259 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133260 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133261 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133262 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133263 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133264 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133265 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133266 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133267 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133268 -        181218....Pantoprazol.........  2  Doctor Lee prescribed pantoprazole everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133269 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133270 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133271 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133272 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133273 -        181223....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133275 -  ..
133276 - Urination while out hiking and stopping at gas station, seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133277 - slightly uncomfortable, with minimal flow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133279 -            [...below on 181224 reported in this case study on 180101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133280 -            0820, did not occur next day. ref SDS 0 RXTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133282 -  ..
133283 - Pain medication - Naproxen and ibuprofen increase blood pressure, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133284 - on 181101, above, ref SDS 0 XT6N; and naproxen increases LDL, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133285 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133286 - 1600, ref SDS C5 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133287 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133288 - month or so, but become increasingly needed as benefits of PRP wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133289 - off after 3 months.  Acetaminophen 1000 mg causes intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133290 - lowers HDL 30%, so paused on 180724 1645. ref SDS A1 EZ7G  Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133291 - caused ulceration LESV reduce to 6 mm, when took 2 250 mg pills with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133292 - very little water after descending from subdome hiking Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133293 - 160914, 160101 0700, ref SDS 37 ZL9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133295 -  ..
133296 - Pain pills today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133298 -        181223...none.......................... ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133301 -  ..
133302 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133304 -                                                    Pain Level   Day
133305 -         ..
133306 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133307 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133308 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133309 -        Knee left......Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133310 -        Knee right.....Supartz on 181126.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133311 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133312 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133313 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133314 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133315 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133316 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133317 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133318 -        Metatarsalgia left foot......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133319 -        Metatarsalgia right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133320 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133321 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133322 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133323 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133324 -        Burning sensation right foot.................   0         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133325 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133327 -  ..
133328 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133329 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133330 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133331 - Today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133333 -        181223...no ph......statins.... on 181222, ref SDS 0 RF6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133335 -  ..
133336 - Legs and arms 6 hours after 11 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133337 - nutrients depleted....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133339 -        181223...Tramadol 50   750........ ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133341 -  ..
133342 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133343 - orthotic inserts.  This 3rd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133344 - SM4M  These shoes do not seem to have cushioning like 1st pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133345 - reported on 181209, above. ref SDS 0 YTTY  These might be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133346 - interchangeable with Bondi 5 shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133348 -  ..
133349 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133350 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133352 -  ..
133353 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133354 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133355 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133357 -  ..
133358 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133359 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133360 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133361 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133362 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133364 -  ..
133365 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133366 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133368 -  ..
133369 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133370 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133371 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133373 -  ..
133374 - Right foot metatarsalgia - pain level 2 at about mile 4 until about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133375 - mile 5, then subsided going uphill on Crystal Ranch Road; seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133376 - conflicting with getting 6th PRP treatment on 181212 1600, ref SDS C5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133377 - 0001, and wearing Hoka Bondi 6 shoes with good cushioning, beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133378 - on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133380 -  ..
133381 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133382 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133383 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133384 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133385 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133387 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133388 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133389 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133390 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133391 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133392 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133393 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133394 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133395 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133396 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133397 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133398 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133399 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133400 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133401 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133402 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133403 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133404 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133405 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133406 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133407 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133408 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133409 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133410 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133411 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133412 -        again.......................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133413 -        again today.................... 181222, ref SDS 0 RSSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133415 -  ..
133416 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133417 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133419 -  ..
133420 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133421 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133422 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133423 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133424 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133426 -  ..
133427 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133428 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133429 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133431 -  ..
133432 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133433 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133434 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133436 -  ..
133437 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133439 -  ..
133440 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133441 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133442 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133443 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133444 - Injury protected wearing smartwool socks, and Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133445 - lotion applied daily.  New Bondi 6 Wide shoes received on 181127 1805,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133446 - ref SDS C1 SM4M, protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133448 -  ..
133449 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133450 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133451 - energy good and good rebound energy hiking fast wearing 2nd pair Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133452 - 6 wide shoes color grey and with orthotic inserts Lynn Flex heel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133453 - Satallite Elite, per above. ref SDS 0 YTTY  Time to 1.25 miles 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133454 - minutes.  Maintained fast pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133455 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133456 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133457 - North to South Side to hike against Eastbound traffic flow.  Hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133458 - fast pace felt mild peripehral neruopathy right foot.  Time mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133459 - 64 minutes.  Continuing on Ygnacio Valley Road going West.  At mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133460 - pain level 0, so turned onto Crystal Ranch Road and did 4-mile loop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133461 - Good pace all the way going 1 mile uphill.  Slowed pace at summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133462 - on flat ground.  Normal pace going down steep hill.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133463 - onto Rolling Woods Way and increased pace hiking .3 miles up steeper                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133464 - hill.  Slowed pace going downhill to Pine Hollow.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133465 - Pine Hollow and increased pace hiking 1 mile back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133466 - Road.  Turned corner and hiked fast pace going West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133467 - Road about 1 mile back to Crystal Ranch Road.  Turned corner and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133468 - 2nd 4-mile loop.  After completing 2nd 4-mile loop continued uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133469 - Ygnacio Valley Road.  Turned corner at Cowell and hiked home for 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133470 - mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133472 -  ..
133473 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133474 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133475 - Dinner - salmon lettuce onion avocado tomato mushroom cumcumber                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133477 -  ..
133478 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133482 -         ..
133483 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133484 -  360.  181224 0650..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133485 -               0700....BP HR..................................................... 122  69  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133486 -               0705....BP HR..................................................... 119  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133487 -               0710....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133488 -               0710... 20 18020 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133489 -               0710... 80 106000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133490 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133491 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133492 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133493 -               0710... Naproxen (Aleve) 1 pill 250  70200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133494 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133495 -         **    0730....pushups......       40  3360 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133496 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133497 -               0830....miles...........  18.0  18.00  274  274 minutes temp  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133498 -               1330....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133499 -               1340....BP HR.....................................................  97  59  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133500 -               1345....BP HR.....................................................  93  54  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133501 -               1640... 40 39340 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133502 -             1 0000............ 10 11180  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133503 -             1 0000............ 10 10770  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133504 -               0000....Tramadol 50  750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133505 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133506 -               1940... 40 18140 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133507 -               2040... 1000  330000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133508 -               2205... 80 106080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133509 -               2220... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133511 -  ..
133512 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133513 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133515 -  ..
133516 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133517 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133519 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133520 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133521 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133523 -     ..
133524 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133526 -     ..
133527 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133528 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133529 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133531 -     ..
133532 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133533 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133534 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133535 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133537 -     ..
133538 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133539 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133540 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133542 -     ..
133543 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133546 -  ..
133547 - Vitals Morning             After hiking        Date                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133548 -     BP    Hr   Wt     Miles    BP    HR   WT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133549 -   121 62  52  174       15  106 69   99  170   181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133550 -   119 67  51  174       18   93 54   77  170   181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133554 -  ..
133555 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133556 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133557 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133558 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133559 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133560 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133561 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133562 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133563 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133564 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133565 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133566 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133567 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133568 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133569 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133570 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133571 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133572 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133573 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133574 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133575 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133576 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133577 -        181218....Pantoprazol.........  2  Doctor Lee prescribed pantoprazole everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133578 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133579 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133580 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133581 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133582 -        181223....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133583 -        181224....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133585 -  ..
133586 - Urination - yesterday on 181222, while out hiking and stopping at gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133587 - station, seems slightly uncomfortable, with minimal flow. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133588 - GD7K  This did not occur today on 181224.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133590 -  ..
133591 - Pain medication - Naproxen and ibuprofen increase blood pressure, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133592 - on 181101, above, ref SDS 0 XT6N; and naproxen increases LDL, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133593 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133594 - 1600, ref SDS C5 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133595 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133596 - month or so, but become increasingly needed as benefits of PRP wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133597 - off after 3 months.  Acetaminophen 1000 mg causes intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133598 - lowers HDL 30%, so paused on 180724 1645. ref SDS A1 EZ7G  Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133599 - caused ulceration LESV reduce to 6 mm, when took 2 250 mg pills with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133600 - very little water after descending from subdome hiking Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133601 - 160914, 160101 0700, ref SDS 37 ZL9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133603 -  ..
133604 - Pain pills today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133606 -        181223...none.......................... ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133607 -        181224...Naproxen 250  70200........ ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133609 -  ..
133610 - Took Naproxen about 0710, with other pills.  Started hiking at 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133611 - After hiking about 2 miles, at about 0900 began feeling slightly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133612 - wobbilly.  This gracually inceased throughout 4+ hour hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133614 -  ..
133615 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133617 -                                                    Pain Level   Day
133618 -         ..
133619 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133620 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133621 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133622 -        Knee left...Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133623 -        Knee right..Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133624 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133625 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133626 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133627 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133628 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133629 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133630 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133631 -        Metatarsalgia left foot...PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133632 -        Metatarsalgia right foot..PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133633 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133634 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133635 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133636 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133637 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133638 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133640 -  ..
133641 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133642 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133643 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133644 - Today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133646 -        181223...no ph...no statins.... on 181222, ref SDS 0 RF6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133647 -        181224..... ph......statins.... on 181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133649 -  ..
133650 - Legs and arms 6 hours after 11 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133651 - nutrients depleted, so took Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133653 -        181223...Tramadol  50    750........ ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133655 -  ..
133656 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133657 - orthotic inserts.  This 2nd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133658 - SM4M  These shoes seem to have cushioning like 1st pair reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133659 - 181209, above. ref SDS 0 YTTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133661 -  ..
133662 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133663 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133665 -  ..
133666 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133667 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133668 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133670 -  ..
133671 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133672 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133673 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133674 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133675 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133677 -  ..
133678 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133679 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133681 -  ..
133682 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133683 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133684 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133685 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133686 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133687 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133689 -  ..
133690 - Right foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133691 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133692 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133693 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133694 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133695 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133697 -  ..
133698 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133699 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133700 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133701 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133702 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133704 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133705 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133706 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133707 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133708 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133709 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133710 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133711 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133712 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133713 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133714 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133715 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133716 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133717 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133718 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133719 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133720 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133721 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133722 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133723 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133724 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133725 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133726 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133727 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133728 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133729 -        again.......................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133730 -        again today.................... 181222, ref SDS 0 RSSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133732 -  ..
133733 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133734 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133736 -  ..
133737 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133738 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133739 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133740 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133741 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133743 -  ..
133744 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133745 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133746 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133748 -  ..
133749 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133750 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133751 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133753 -  ..
133754 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133756 -  ..
133757 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133758 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133759 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133760 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133761 - Injury protected wearing smartwool socks, but without Ammonium Lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133762 - 12% lotion applied last night on 181223, per above. ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133763 - New Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133764 - protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133766 -  ..
133767 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133768 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133769 - energy good and good rebound energy hiking fast wearing 2nd pair Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133770 - 6 wide shoes color grey and with orthotic inserts Lynn Flex heel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133771 - Satallite Elite, per above. ref SDS 0 YTTY  Time to 1.25 miles 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133772 - minutes.  Maintained fast pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133773 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133774 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133775 - North to South Side to hike against Eastbound traffic flow.  Hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133776 - fast pace felt mild peripehral neruopathy right foot.  Time mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133777 - 64 minutes.  Continuing on Ygnacio Valley Road going West.  At mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133778 - pain level 0, but did not turn corner onto Crystal Ranch Road and hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133779 - 4-mile loop.  Continued uphill on Ygnacio Valley Road 1 mile past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133780 - Cowell to summit.  Then hiked 2 miles downhill to Oak Grove.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133781 - corner and hiked 1 mile to Treat.  Turned corner and hiked .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133782 - flat terrain.  Hiked uphill on Treat to Cuneo.  Continued past Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133783 - and hiked 1 mile to Clayton.  Turned and hiked 2 miles to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133784 - Valley Road.  Turned again on Ygnacio Valley Road.  Hiked to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133785 - Turned corner and hiked home for 18 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133787 -  ..
133788 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133789 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133790 - Dinner - salmon lettuce onion pasta avocado tomato mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133791 - cumcumber, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133793 -  ..
133794 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133798 -         ..
133799 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133800 -  361.  181225 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133801 -               1030....BP HR..................................................... 138  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133802 -               1035....BP HR..................................................... 126  66  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133803 -               1040....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133804 -               1040... 20 18040 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133805 -               1040... 80 106160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133806 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133807 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133808 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133809 -               0000... Naproxen (Aleve) 1 pill 250  70200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133810 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133811 -         **    1050....pushups......       40  3400 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133812 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133813 -               1155....miles...........  11.0  29.00  164  438 minutes temp  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133814 -               1500....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133815 -               1510....BP HR.....................................................  98  67 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133816 -               1515....BP HR.....................................................  96  61 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133817 -               1700... 40 39380 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133818 -               1830............ 10 11190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133819 -               1830............ 10 10780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133820 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133821 -               0000....Tramadol 50  750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133822 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133823 -               1940... 40 18180 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133824 -               2040... 1000  331000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133825 -               2205... 80 106240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133827 -  ..
133828 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133829 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133831 -  ..
133832 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133833 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133835 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133836 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133837 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133839 -     ..
133840 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133842 -     ..
133843 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133844 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133845 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133847 -     ..
133848 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133849 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133850 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133851 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133853 -     ..
133854 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133855 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133856 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133858 -     ..
133859 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133862 -  ..
133863 - Vitals Morning             After hiking        Date                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133864 -     BP    Hr   Wt     Miles    BP    HR   WT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133865 -   121 62  52  174       15  106 69   99  170   181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133866 -   119 67  51  174       18   93 54   77  170   181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133867 -   126 66  51  174       11   96 61  100  171   181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133870 -  ..
133871 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133872 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133873 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133874 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133875 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133876 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133877 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133878 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133879 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133880 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133881 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133882 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133883 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133884 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133885 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133886 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133887 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133888 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133889 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133890 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133891 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133892 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133893 -        181218....Pantoprazol.........  2  Doctor Lee prescribed pantoprazole everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133894 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133895 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133896 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133897 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133898 -        181223....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133899 -        181224....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133900 -        181225....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133902 -  ..
133903 - Urination - yesterday on 181222, while out hiking and stopping at gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133904 - station, seems slightly uncomfortable, with minimal flow. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133905 - GD7K  This did not occur today on 181224.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133907 -  ..
133908 - Pain medication - Naproxen and ibuprofen increase blood pressure, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133909 - on 181101, above, ref SDS 0 XT6N; and naproxen increases LDL, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133910 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133911 - 1600, ref SDS C5 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133912 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133913 - month or so, but become increasingly needed as benefits of PRP wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133914 - off after 3 months.  Acetaminophen 1000 mg causes intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133915 - lowers HDL 30%, so paused on 180724 1645. ref SDS A1 EZ7G  Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133916 - caused ulceration LESV reduce to 6 mm, when took 2 250 mg pills with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133917 - very little water after descending from subdome hiking Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133918 - 160914, 160101 0700, ref SDS 37 ZL9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133920 -  ..
133921 - Pain pills today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133923 -        181223...none.......................... ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133924 -        181224...Naproxen 250  70200........... ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133925 -        181225...none.......................... ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133928 -  ..
133929 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133931 -                                                    Pain Level   Day
133932 -         ..
133933 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133934 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133935 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133936 -        Knee left...Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133937 -        Knee right..Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133938 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133939 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133940 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133941 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133942 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133943 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133944 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133945 -        Metatarsalgia left foot...PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133946 -        Metatarsalgia right foot..PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133947 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133948 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133949 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133950 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133951 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133952 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133954 -  ..
133955 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133956 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133957 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133958 - Today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133960 -        181223...no ph...no statins.... on 181222, ref SDS 0 RF6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133961 -        181224..... ph......statins.... on 181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133962 -        181225...no ph...no statins.... on 181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133964 -  ..
133965 - Legs and arms 6 hours after 11 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133966 - nutrients depleted, so took Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133968 -        181223...Tramadol  50    750........ ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133970 -  ..
133971 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133972 - orthotic inserts.  This 2nd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133973 - SM4M  These shoes now seem to have cushioning like 1st pair reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133974 - on 181209, above. ref SDS 0 YTTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133976 -  ..
133977 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133978 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133980 -  ..
133981 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133982 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133983 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133985 -  ..
133986 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133987 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133988 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133989 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133990 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133992 -  ..
133993 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133994 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133996 -  ..
133997 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133998 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133999 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134000 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134001 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134002 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134004 -  ..
134005 - Right foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134006 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134007 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134008 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134009 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134010 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134012 -  ..
134013 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134014 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134015 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134016 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134017 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134019 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134020 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134021 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134022 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134023 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134024 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134025 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134026 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134027 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134028 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134029 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134030 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134031 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134032 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134033 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134034 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134035 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134036 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134037 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134038 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134039 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134040 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134041 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134042 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134043 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134044 -        again.......................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134045 -        again today.................... 181222, ref SDS 0 RSSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134047 -  ..
134048 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134049 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134051 -  ..
134052 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134053 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134054 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134055 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134056 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134058 -  ..
134059 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134060 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134061 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134063 -  ..
134064 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134065 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134066 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134068 -  ..
134069 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134071 -  ..
134072 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134073 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134074 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134075 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134076 - Injury protected wearing smartwool socks, but without Ammonium Lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134077 - 12% lotion applied last night on 181223, per above. ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134078 - New Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134079 - protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134081 -  ..
134082 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134083 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134084 - energy good and good rebound energy hiking fast wearing 3rd pair Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134085 - 6 wide shoes color grey and with orthotic inserts Lynn Flex heel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134086 - Satallite Elite, per above. ref SDS 0 YTTY  Time to 1.25 miles 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134087 - minutes.  Maintained fast pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134088 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134089 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134090 - North to South Side to hike against Eastbound traffic flow.  Hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134091 - fast pace felt mild peripehral neruopathy right foot.  Time mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134092 - 64 minutes.  Continuing on Ygnacio Valley Road going West.  At mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134093 - pain level 0, so turned corner onto Crystal Ranch Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134094 - 4-mile loop.  Good pace all the way going 1 mile uphill.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134095 - at summit on flat ground.  Normal pace going down steep hill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134096 - corner onto Rolling Woods Way and increased pace hiking .3 miles up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134097 - steeper hill.  This was more difficult than usual - required                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134098 - significant concentration.  Slowed pace going downhill to Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134099 - Turned corner onto Pine Hollow and increased pace hiking 1 mile back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134100 - to Ygnacio Valley Road.  Turned corner and hiked fast pace going West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134101 - on Ygnacio Valley Road about 1 mile back to Crystal Ranch Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134102 - Decided not to do another 4-mile loop.  Continued uphill on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134103 - Valley Road.  Turned corner at Cowell and hiked home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134105 -  ..
134106 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134107 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134108 - Dinner - pasta hamburger onion mushroom, chips donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134110 -  ..
134111 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134115 -         ..
134116 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134117 -  362.  181226 0300..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134118 -               0310....BP HR..................................................... 126  67  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134119 -               0315....BP HR..................................................... 115  66  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134120 -               0320....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134121 -               0320... 20 18060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134122 -               0320... 80 106320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134123 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134124 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134125 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134126 -               0000... Naproxen (Aleve) 1 pill 250  70200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134127 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134128 -         **    0350....pushups......       40  3440 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134129 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134130 -               0450....miles...........  12.0  41.00  179  617 minutes temp  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134131 -               0815....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134132 -               0815....BP HR.....................................................  96  66 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134133 -               0820....BP HR.....................................................  92  58 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134134 -               1700... 40 39420 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134135 -             1 0000............ 10 11190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134136 -             1 0000............ 10 10780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134137 -               1900... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134138 -               0000....Tramadol 50  750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134139 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134140 -               1940... 40 18220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134141 -               2040... 1000  332000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134142 -               2205... 80 106400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134144 -  ..
134145 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134146 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134148 -  ..
134149 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134150 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134152 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134153 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134154 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134156 -     ..
134157 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134159 -     ..
134160 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134161 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134162 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134164 -     ..
134165 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134166 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134167 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134168 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134170 -     ..
134171 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134172 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134173 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134175 -     ..
134176 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134179 -  ..
134180 - Vitals Morning             After hiking        Date                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134181 -     BP    Hr   Wt     Miles    BP    HR   WT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134182 -   121 62  52  174       15  106 69   99  170   181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134183 -   119 67  51  174       18   93 54   77  170   181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134184 -   126 66  51  174       11   96 61  100  171   181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134185 -   115 66  58  174       12   92 58  102  170   181226, ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134188 -  ..
134189 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134190 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134191 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134192 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134193 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134194 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134195 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134196 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134197 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134198 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134199 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134200 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134201 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134202 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134203 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134204 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134205 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134206 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134207 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134208 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134209 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134210 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134211 -        181218....Pantoprazol.........  2  Doctor Lee prescribed pantoprazole everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134212 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134213 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134214 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134215 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134216 -        181223....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134217 -        181224....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134218 -        181225....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134219 -        181226....Pantoprazol.........  0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134221 -  ..
134222 - Urination - on 181222, while out hiking and stopping at gas station,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134223 - seems slightly uncomfortable, with minimal flow. ref SDS 0 GD7K  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134224 - has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134226 -  ..
134227 - Pain medication - Naproxen and ibuprofen increase blood pressure, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134228 - on 181101, above, ref SDS 0 XT6N; and naproxen increases LDL, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134229 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134230 - 1600, ref SDS C5 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134231 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134232 - month or so, but become increasingly needed as benefits of PRP wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134233 - off after 3 months.  Acetaminophen 1000 mg causes intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134234 - lowers HDL 30%, so paused on 180724 1645. ref SDS A1 EZ7G  Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134235 - caused ulceration LESV reduce to 6 mm, when took 2 250 mg pills with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134236 - very little water after descending from subdome hiking Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134237 - 160914, 160101 0700, ref SDS 37 ZL9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134239 -  ..
134240 - Pain pills today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134242 -        181223...none.......................... ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134243 -        181224...Naproxen 250  70200........... ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134244 -        181225...none.......................... ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134245 -        181226...none.......................... ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134248 -  ..
134249 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134251 -                                                    Pain Level   Day
134252 -         ..
134253 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134254 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134255 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134256 -        Knee left...Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134257 -        Knee right..Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134258 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134259 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134260 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134261 -        Tailor's Bunion left foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134262 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134263 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134264 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134265 -        Metatarsalgia left foot...PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134266 -        Metatarsalgia right foot..PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134267 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134268 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134269 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134270 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134271 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134272 -        Peripheral neruopathy right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134274 -  ..
134275 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134276 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134277 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134278 - Today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134280 -        181223...no ph...no statins.... on 181222, ref SDS 0 RF6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134281 -        181224..... ph......statins.... on 181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134282 -        181225...no ph...no statins.... on 181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134283 -        181226...no ph......statins.... on 181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134285 -  ..
134286 - Legs and arms 8 hours after 12 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134287 - nutrients depleted, but did not take Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134289 -        181223...Tramadol  50    750........ ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134291 -  ..
134292 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134293 - orthotic inserts.  This 3rd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134294 - SM4M  These shoes now seem to have cushioning like 1st pair reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134295 - on 181209, above. ref SDS 0 YTTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134297 -  ..
134298 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134299 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134301 -  ..
134302 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134303 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134304 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134306 -  ..
134307 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134308 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134309 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134310 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134311 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134313 -  ..
134314 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134315 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134317 -  ..
134318 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134319 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134320 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134321 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134322 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134323 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134325 -  ..
134326 - Right foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134327 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134328 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134329 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134330 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134331 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134333 -  ..
134334 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134335 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134336 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134337 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134338 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134340 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134341 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134342 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134343 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134344 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134345 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134346 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134347 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134348 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134349 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134350 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134351 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134352 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134353 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134354 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134355 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134356 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134357 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134358 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134359 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134360 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134361 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134362 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134363 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134364 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134365 -        again.......................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134366 -        again.......................... 181222, ref SDS 0 RSSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134367 -        again today.................... 181226, ref SDS 0 SUYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134369 -  ..
134370 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134371 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134373 -  ..
134374 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134375 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134376 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134377 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134378 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134380 -  ..
134381 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134382 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134383 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134385 -  ..
134386 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134387 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134388 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134390 -  ..
134391 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134393 -  ..
134394 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134395 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134396 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134397 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134398 - Injury protected wearing smartwool socks, but without Ammonium Lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134399 - 12% lotion applied last night on 181223, per above. ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134400 - New Bondi 6 Wide shoes received on 181127 1805, ref SDS C1 SM4M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134401 - protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134403 -  ..
134404 - San Francisco route #5, reported on 170519, per above. ref SDS 37 WTRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134405 - Weather was clear and cold, but no fog.  No traffic at 0450, so could                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134406 - hike on asphault paved street, rather than hard concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134407 - Still dark, so could not see the ocean.  Walking downhill from the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134408 - on 42nd street, to Point Lobos both knees pain level 0.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134409 - onto Point Lobos was able to go faster downhill to Cliff House, than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134410 - on prior hikes because knees and feet responding well to PRP injection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134411 - treatment 181212 1600, ref SDS C5 0001, and also Supartz treatment at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134412 - the VA 2 days earlier on 181210 1030. ref SDS C4 CJ98  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134413 - downhill to The Great Highway along Ocean Beach.  Hiked on flat ground                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134414 - along Great Highway to JFK drive.  Turned corner onto JFK and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134415 - maintained good pace going slightly uphill into the park.  At this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134416 - hour 0500, still totally dark.  Could not see the road, trees, etc.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134417 - Saw the early morning hiker on the other side of the street, and going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134418 - toward the ocean.  Turned corner and continued past Buffalo compound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134419 - About mile 4 nearng Hellman Hollow still no bikers and no runners,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134420 - because USF is on Christmas break.  Hiked past De Young Museum.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134421 - Nearing the end of JFK Drive, crossed the street to make left turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134422 - onto Stanyon.  Hiked uphill on Stanyon several blocks to Fulton;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134423 - crossed over in front of bus, which was waiting for red light to turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134424 - green.  It turned just as I started to cross, so sprinted to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134425 - being hit by the bus.  Hiked few more blocks downhill to Paramont                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134426 - street across from Koret Health and Recreation Center, part of USF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134427 - Touched the wall at Ann's house - time 0615.  Turned and started back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134428 - - still pain level 0.  Morning commute traffic increasing through the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134429 - park on JFK, but still very light because of Christmas holiday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134430 - yesterday.  Hiked on South side against traffic going West.  Passing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134431 - De Young Museum increased pace - feeling very good.  Nearing 19th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134432 - street bridge, disappointed the park staff have not started the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134433 - waterfall, because it already 0705.  Hiked under the bridge and past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134434 - Helman Hollow.  Continuing past the Buffalow Compound crossed over to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134435 - North side of JFK going with traffic.  Finally, turned corner from JFK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134436 - onto Lincoln Avenue and headed toward the ocean.  Sun was just rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134437 - so could see the ocean - beautiful sight.  Hiked North on Great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134438 - Highway toward the Cliff House and the hospital.  Increased pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134439 - hiking up the steep hill.  Had good energy today, so maintained speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134440 - going uphill.  At the Cliff House turned onto Point Lobo going East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134441 - Felt good maintaining fast pace hiking up this steep part of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134442 - route.  Continuning uphill to 42nd street - never broke stride.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134443 - Turned onto 42nd street and maintained pace going up final steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134444 - to the VA hospital campus.  Arrived at 0745.  Did warmdown around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134445 - parking lot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134447 -  ..
134448 - Breakfast - cheerios milk after hike at VA Cafeteria                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134449 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134450 - Dinner - eggs steak asparagus salmon, donut milk chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134452 -  ..
134453 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134458 -         ..
134459 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134460 -  363.  181227 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134461 -               1000....BP HR..................................................... 120  71  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134462 -               1005....BP HR..................................................... 124  72  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134463 -               1010....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134464 -               1010... 20 18060 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134465 -               1010... 80 106320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134466 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134467 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134468 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134469 -               0000... Naproxen (Aleve) 1 pill 250  70200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134470 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134471 -         **    1040....pushups......       40  3480 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134472 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134473 -               0000....situps.......        0     0 beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134474 -               1700... 40 39420 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134475 -               1830............ 10 11190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134476 -               1830............ 10 10780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134477 -               1900... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134478 -               0000....Tramadol 50  750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134479 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134480 -               1940... 40 18220 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134481 -               2040... 1000  332000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134482 -               2205... 80 106400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134484 -  ..
134485 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134486 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134488 -  ..
134489 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134490 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134492 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134493 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134494 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134496 -     ..
134497 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134499 -     ..
134500 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134501 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134502 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134504 -     ..
134505 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134506 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134507 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134508 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134510 -     ..
134511 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134512 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134513 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134515 -     ..
134516 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134519 -  ..
134520 - Vitals Morning             After hiking        Date                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134521 -     BP    Hr   Wt     Miles    BP    HR   WT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134522 -   121 62  52  174       15  106 69   99  170   181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134523 -   119 67  51  174       18   93 54   77  170   181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134524 -   126 66  51  174       11   96 61  100  171   181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134525 -   115 66  58  174       12   92 58  102  170   181226, ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134526 -   120 71  61  174       __   __ __  ___  ___   181227, ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134529 -  ..
134530 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134531 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134532 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134533 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134534 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134535 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134536 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134537 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134538 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134539 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134540 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134541 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134542 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134543 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134544 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134545 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134546 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134547 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134548 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134549 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134550 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134551 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134552 -        181218....Pantoprazol.........  2  Doctor Lee prescribed pantoprazole everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134553 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134554 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134555 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134556 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134557 -        181223....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134558 -        181224....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134559 -        181225....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134560 -        181226....Pantoprazol.........  0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134561 -        181227....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134563 -  ..
134564 - Urination - on 181222, while out hiking and stopping at gas station,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134565 - seems slightly uncomfortable, with minimal flow. ref SDS 0 GD7K  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134566 - has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134568 -  ..
134569 - Pain medication - Naproxen and ibuprofen increase blood pressure, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134570 - on 181101, above, ref SDS 0 XT6N; and naproxen increases LDL, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134571 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134572 - 1600, ref SDS C5 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134573 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134574 - month or so, but become increasingly needed as benefits of PRP wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134575 - off after 3 months.  Acetaminophen 1000 mg causes intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134576 - lowers HDL 30%, so paused on 180724 1645. ref SDS A1 EZ7G  Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134577 - caused ulceration LESV reduce to 6 mm, when took 2 250 mg pills with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134578 - very little water after descending from subdome hiking Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134579 - 160914, 160101 0700, ref SDS 37 ZL9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134581 -  ..
134582 - Pain pills today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134584 -        181223...none.......................... ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134585 -        181224...Naproxen 250  70200........... ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134586 -        181225...none.......................... ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134587 -        181226...none.......................... ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134588 -        181227...none.......................... ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134590 -  ..
134591 - Legs and arms feeling anxious like oxygen nutrients depleted, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134592 - not hiking today - did not take Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134594 -  ..
134595 - Hiking - none                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134598 -  ..
134599 - Breakfast - eggs steak toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134600 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134601 - Dinner - pasta hamburger onion salmon lettuce tomato asparagus, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134603 -  ..
134604 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134608 -         ..
134609 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134610 -  364.  181228 0800..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134611 -               0850....BP HR..................................................... 125  66  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134612 -               0805....BP HR..................................................... 129  68  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134613 -               0810....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134614 -               0810... 20 18080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134615 -               0810... 80 106480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134616 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134617 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134618 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134619 -               0000... Naproxen (Aleve) 1 pill 250  70200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134620 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134621 -         **    0940....pushups......       40  3520 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134622 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134623 -               0000....situps.......        0     0 beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134624 -               1820... 40 39460 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134625 -             1 0000............ 10 11190  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134626 -             1 0000............ 10 10780  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134627 -               0000... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134628 -               0000....Tramadol 50  750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134629 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134630 -               2020... 40 18260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134631 -               2150... 1000  333000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134632 -               2325... 80 106560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134634 -  ..
134635 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134636 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134638 -  ..
134639 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134640 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134642 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134643 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134644 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134646 -     ..
134647 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134649 -     ..
134650 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134651 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134652 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134654 -     ..
134655 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134656 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134657 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134658 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134660 -     ..
134661 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134662 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134663 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134665 -     ..
134666 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134669 -  ..
134670 - Vitals Morning             After hiking        Date                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134671 -     BP    Hr   Wt     Miles    BP    HR   WT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134672 -   121 62  52  174       15  106 69   99  170   181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134673 -   119 67  51  174       18   93 54   77  170   181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134674 -   126 66  51  174       11   96 61  100  171   181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134675 -   115 66  58  174       12   92 58  102  170   181226, ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134676 -   120 71  61  174       __   __ __  ___  ___   181227, ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134677 -   125 66  53  175       __   __ __  ___  ___   181228, ref SDS 0 SXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134680 -  ..
134681 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134682 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134683 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134684 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134685 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134686 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134687 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134688 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134689 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134690 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134691 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134692 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134693 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134694 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134695 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134696 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134697 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134698 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134699 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134700 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134701 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134702 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134703 -        181218....Pantoprazol.........  2  Doctor Lee prescribed pantoprazole everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134704 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134705 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134706 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134707 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134708 -        181223....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134709 -        181224....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134710 -        181225....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134711 -        181226....Pantoprazol.........  0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134712 -        181227....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134713 -        181228....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134715 -  ..
134716 - Urination - on 181222, while out hiking and stopping at gas station,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134717 - seems slightly uncomfortable, with minimal flow. ref SDS 0 GD7K  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134718 - has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134720 -  ..
134721 - Pain medication - Naproxen and ibuprofen increase blood pressure, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134722 - on 181101, above, ref SDS 0 XT6N; and naproxen increases LDL, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134723 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134724 - 1600, ref SDS C5 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134725 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134726 - month or so, but become increasingly needed as benefits of PRP wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134727 - off after 3 months.  Acetaminophen 1000 mg causes intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134728 - lowers HDL 30%, so paused on 180724 1645. ref SDS A1 EZ7G  Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134729 - caused ulceration LESV reduce to 6 mm, when took 2 250 mg pills with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134730 - very little water after descending from subdome hiking Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134731 - 160914, 160101 0700, ref SDS 37 ZL9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134733 -  ..
134734 - Pain pills today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134736 -        181223...none.......................... ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134737 -        181224...Naproxen 250  70200........... ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134738 -        181225...none.......................... ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134739 -        181226...none.......................... ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134740 -        181227...none.......................... ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134741 -        181228...none.......................... ref SDS 0 SXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134744 -  ..
134745 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134746 - Lunch - sandwich bologna tomato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134747 - Dinner - pasta hamburger onion lettuce hot dog celery cottage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134748 - cheese, cookies milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134750 -  ..
134751 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134755 -         ..
134756 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134757 -  365.  181229 0820..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134758 -               0840....BP HR..................................................... 128  67  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134759 -               0845....BP HR..................................................... 124  68  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134760 -               0850....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134761 -               0850... 20 18080 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134762 -               0850... 80 106480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134763 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134764 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134765 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134766 -               0000... Naproxen (Aleve) 1 pill 250  70200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134767 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134768 -         **    0915....pushups......       60  3580 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134769 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134770 -               0000....situps.......        0     0 beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134771 -               1150....miles...........  11.0  52.00  166  783 minutes temp  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134772 -               1455....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134773 -               1510....BP HR..................................................... 101  64 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134774 -               1515....BP HR..................................................... 100  54  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134775 -               1630... 40 39460 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134776 -               1830............ 10 11200  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134777 -               1830............ 10 10790  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134778 -               2030... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134779 -               0000....Tramadol 50  750                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134780 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134781 -               2050... 40 18260 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134782 -               2130... 1000  333000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134783 -               2250... 80 106560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134785 -  ..
134786 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134787 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134789 -  ..
134790 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134791 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134793 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134794 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134795 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134797 -     ..
134798 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134800 -     ..
134801 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134802 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134803 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134805 -     ..
134806 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134807 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134808 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134809 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134811 -     ..
134812 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134813 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134814 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134816 -     ..
134817 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134820 -  ..
134821 - Vitals Morning             After hiking        Date                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134822 -     BP    Hr   Wt     Miles    BP    HR   WT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134823 -   121 62  52  174       15  106 69   99  170   181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134824 -   119 67  51  174       18   93 54   77  170   181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134825 -   126 66  51  174       11   96 61  100  171   181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134826 -   115 66  58  174       12   92 58  102  170   181226, ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134827 -   120 71  61  174       __   __ __  ___  ___   181227, ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134828 -   125 66  53  175       __   __ __  ___  ___   181228, ref SDS 0 SXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134829 -   124 68  59  176       11  100 54   98  171   181229, ref SDS 0 TRQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134832 -  ..
134833 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134834 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134835 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134836 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134837 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134838 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134839 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134840 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134841 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134842 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134843 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134844 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134845 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134846 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134847 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134848 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134849 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134850 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134851 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134852 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134853 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134854 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134855 -        181218....Pantoprazol.........  2  Doctor Lee prescribed pantoprazole everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134856 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134857 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134858 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134859 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134860 -        181223....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134861 -        181224....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134862 -        181225....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134863 -        181226....Pantoprazol.........  0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134864 -        181227....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134865 -        181228....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134866 -        181229....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134868 -  ..
134869 - Urination - on 181222, while out hiking and stopping at gas station,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134870 - seems slightly uncomfortable, with minimal flow. ref SDS 0 GD7K  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134871 - has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134873 -  ..
134874 - Pain medication - Naproxen and ibuprofen increase blood pressure, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134875 - on 181101, above, ref SDS 0 XT6N; and naproxen increases LDL, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134876 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134877 - 1600, ref SDS C5 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134878 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134879 - month or so, but become increasingly needed as benefits of PRP wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134880 - off after 3 months.  Acetaminophen 1000 mg causes intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134881 - lowers HDL 30%, so paused on 180724 1645. ref SDS A1 EZ7G  Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134882 - caused ulceration LESV reduce to 6 mm, when took 2 250 mg pills with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134883 - very little water after descending from subdome hiking Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134884 - 160914, 160101 0700, ref SDS 37 ZL9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134886 -  ..
134887 - Pain pills today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134889 -        181223...none.......................... ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134890 -        181224...Naproxen 250  70200........... ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134891 -        181225...none.......................... ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134892 -        181226...none.......................... ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134893 -        181227...none.......................... ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134894 -        181228...none.......................... ref SDS 0 SXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134895 -        181229...none.......................... ref SDS 0 TRQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134898 -  ..
134899 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134901 -                                                    Pain Level   Day
134902 -         ..
134903 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134904 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134905 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134906 -        Knee left...Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134907 -        Knee right..Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134908 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134909 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134910 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134911 -        Tailor's Bunion left foot....................   2         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134912 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134913 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134914 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134915 -        Metatarsalgia left foot...PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134916 -        Metatarsalgia right foot..PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134917 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134918 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134919 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134920 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134921 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134922 -        Peripheral neruopathy right foot.............   0          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134924 -  ..
134925 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134926 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134927 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134928 - Today, slight peripheral neuropathy right foot at mile 1 for about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134929 - .25 miles...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134931 -        181223...no ph...no statins.... on 181222, ref SDS 0 RF6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134932 -        181224..... ph......statins.... on 181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134933 -        181225...no ph...no statins.... on 181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134934 -        181226...no ph......statins.... on 181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134935 -        181227...no ph...no.statins.... on 181226, ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134936 -        181228...no ph......statins.... on 181227, ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134937 -        181229..... ph...no.statins.... on 181228, ref SDS 0 SXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134939 -  ..
134940 - Legs and arms 6 hours after 11 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134941 - nutrients depleted, so took Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134943 -        181223...Tramadol  50    750........ ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134945 -  ..
134946 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134947 - orthotic inserts.  This 3rd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134948 - SM4M  These shoes now seem to have cushioning like 1st pair reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134949 - on 181209, above. ref SDS 0 YTTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134951 -  ..
134952 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134953 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134955 -  ..
134956 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134957 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134958 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134960 -  ..
134961 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134962 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134963 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134964 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134965 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134967 -  ..
134968 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134969 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134971 -  ..
134972 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134973 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134974 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134975 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134976 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134977 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134979 -  ..
134980 - Right foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134981 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134982 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134983 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134984 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134985 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134987 -  ..
134988 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134989 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134990 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134991 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134992 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134994 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134995 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134996 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134997 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134998 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134999 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135000 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135001 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135002 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135003 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135004 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135005 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135006 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135007 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135008 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135009 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135010 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135011 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135012 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135013 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135014 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135015 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135016 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135017 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135018 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135019 -        again.......................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135020 -        again.......................... 181222, ref SDS 0 RSSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135021 -        again today.................... 181226, ref SDS 0 SUYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135023 -  ..
135024 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135025 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135027 -  ..
135028 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135029 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135030 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135031 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135032 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135034 -  ..
135035 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135036 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135037 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135039 -  ..
135040 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135041 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135042 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135044 -  ..
135045 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135047 -  ..
135048 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135049 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135050 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135051 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135052 - Injury protected wearing smartwool socks, but without Ammonium Lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135053 - 12% lotion applied on 181223, per above. ref SDS 0 RTTV  New Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135054 - Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135055 - Felt Tailor's Bunion left foot pain level 2 for about 1 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135057 -  ..
135058 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135059 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135060 - energy good and good rebound energy hiking fast wearing Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135061 - shoes color grey and with orthotic inserts Lynn Flex heel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135062 - Satallite Elite, per above. ref SDS 0 YTTY  Time to 1.25 miles 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135063 - minutes.  Maintained fast pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135064 - Encountered senior riding bike in parking lot of shopping mall.  He                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135065 - lives on Pine Hollow.  Asked how far I hike?  Said he has seen me in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135066 - Walnut Creek, Concord, Clayton.  Turned corner onto Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135067 - Road at mile 3.25.  Hiked to mile 3.5, then switched to asphault                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135068 - roadway.  About mile 3.8 crossed from North to South Side to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135069 - against Eastbound traffic flow.  Hiking at fast pace felt mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135070 - peripehral neruopathy right foot.  Time mile 4.25 62 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135071 - Continuing on Ygnacio Valley Road going West.  At mile 5 pain level 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135072 - so turned corner onto Crystal Ranch Road and hiked 4-mile loop.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135073 - pace all the way going 1 mile uphill.  Slowed pace at summit on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135074 - ground.  Normal pace going down steep hill.  Turned corner onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135075 - Rolling Woods Way and increased pace hiking .3 miles up steeper hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135076 - Slowed pace going downhill to Pine Hollow.  Turned corner onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135077 - Hollow and increased pace hiking 1 mile back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135078 - Turned corner and hiked fast pace going West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135079 - about 1 mile back to Crystal Ranch Road.  Decided not to do another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135080 - 4-mile loop.  Continued uphill on Ygnacio Valley Road.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135081 - at Cowell and hiked home for 11 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135083 -  ..
135084 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135085 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135086 - Dinner - pasta hamburger hot dog celery asparagus squash cottage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135087 - cheese, cookies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135089 -  ..
135090 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135094 -         ..
135095 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135096 -  366.  181230 0810..............................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135097 -               0850....BP HR..................................................... 127  59  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135098 -               0855....BP HR..................................................... 125  66  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135099 -               0900....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135100 -               0800... 20 18100 CoQ10 Ubiquinol Liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135101 -               0900... 80 106640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135102 -               0000... Hydrocodone 5mg with Acetaminophen 325 mg (Norco, Vicodin, Lortab)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135103 -               0000....1000 115000 acetaminophen liquid - Tylenol re22mmended with PRP on 170726 1600. ref SDS 58 656F however, lowers HDL 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135104 -               0000....200   10000 Ibuprofine liquid - Motrin with ensure (food) not recommended with PRP on 170726 1600. ref SDS 58 656F                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135105 -               0000... Naproxen (Aleve) 1 pill 250  70200 - enable hike 15+ miles but increases blood pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135106 -               0000....ice both feet recover PRP injection therapy on 170816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135107 -         **    1015....pushups......       60  3640 beginning 180810, ref SDS 0 PY4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135108 -               0000....pullups......        6     6 beginning 181207, ref SDS 0 1T6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135109 -               0000....situps.......        0     0 beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135110 -               1125....miles...........  16.0  68.00  243 1026 minutes temp  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135111 -               1455....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135112 -               1510....BP HR.....................................................  98  65 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135113 -               1515....BP HR..................................................... 100  65  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135114 -               1700... 40 39500 Pantoprazole Rx 25009443 replace Omeprazole compliment Famotidine on 181127 take every other day with Famotidine                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135115 -             1 0000............ 10 11200  Atorvastatin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135116 -             1 0000............ 10 10790  Ezetimibe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135117 -               2030... Amonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135118 -               2110....Tramadol 50  800                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135119 -               0000... Baking Soda                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135120 -               2050... 40 18300 Mylanta or Baking Soda (antacid)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135121 -               2130... 1000  334000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135122 -               2250... 80 106720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135124 -  ..
135125 - Orthopedic treatment PRP injections feet and knees performed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135126 - Doctor Gloria Tucker at her clinic in Novato, CA.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135128 -  ..
135129 - Orthopedic treatment Supartz injections knees at VAMCSF and VA Clinic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135130 - in Santa Rosa...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135132 -    Supartz    170123 1530, ref SDS 50 VG6M (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135133 -    Supartz    170130 1410, ref SDS 51 LL5N (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135134 -    Supartz    170206 1240, ref SDS 53 RN5K (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135136 -     ..
135137 -    PRP        170726 1600, ref SDS 58 0001        (feet and left knee)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135139 -     ..
135140 -    Supartz    170731 1500, ref SDS 60 F29O (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135141 -    Supartz    170807 1530, ref SDS 61 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135142 -    Supartz    170814 1530, ref SDS 62 S456 (right knee only)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135144 -     ..
135145 -    PRP        170816 1400, ref SDS 63 0001    70  (only feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135146 -    PRP        180105 1630. ref SDS 80 0001   855  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135147 -    PRP        180620 1530, ref SDS 94 0001  1389  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135148 -    PRP        180824 1530, ref SDS A8 0001   573  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135150 -     ..
135151 -    Supartz    181126 1030. ref SDS B8 V54H (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135152 -    Supartz    181203 1010, ref SDS C2 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135153 -    Supartz    181210 1030, ref SDS C4 CJ98 (both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135155 -     ..
135156 -    PRP        181212 1600, ref SDS C5 0001  1211  (feet and both knees)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135159 -  ..
135160 - Vitals Morning             After hiking        Date                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135161 -     BP    Hr   Wt     Miles    BP    HR   WT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135162 -   121 62  52  174       15  106 69   99  170   181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135163 -   119 67  51  174       18   93 54   77  170   181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135164 -   126 66  51  174       11   96 61  100  171   181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135165 -   115 66  58  174       12   92 58  102  170   181226, ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135166 -   120 71  61  174       __   __ __  ___  ___   181227, ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135167 -   125 66  53  175       __   __ __  ___  ___   181228, ref SDS 0 SXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135168 -   124 68  59  176       11  100 54   54  171   181229, ref SDS 0 TRQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135169 -   127 59  52  176       16   98 65   52  171   181230, ref SDS 0 LQ9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135172 -  ..
135173 - Frequent urination - sporadic the past few weeks.  Some nights seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135174 - get up every hour, but other nights only once or twice, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135175 - normal.  Last night got up....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135176 -                                      Times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135177 -        181130....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135178 -        181201....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135179 -        181202....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135180 -        181203....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135181 -        181204....Famotidine..........  7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135182 -        181205....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135183 -        181206....Famotidine..........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135184 -        181207....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135185 -        181208....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135186 -        181209....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135187 -        181210....Famotidine..........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135188 -        181211....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135189 -        181212....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135190 -        181213....Pantoprazol.........  2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135191 -        181214....Famotidine..........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135192 -        181215....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135193 -        181216....Famotidine..........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135194 -        181217....Pantoprazol.........  6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135195 -        181218....Pantoprazol.........  2  Doctor Lee prescribed pantoprazole everyday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135196 -        181219....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135197 -        181220....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135198 -        181221....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135199 -        181222....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135200 -        181223....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135201 -        181224....Pantoprazol.........  5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135202 -        181225....Pantoprazol.........  4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135203 -        181226....Pantoprazol.........  0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135204 -        181227....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135205 -        181228....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135206 -        181229....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135207 -        181230....Pantoprazol.........  3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135209 -  ..
135210 - Urination - on 181222, while out hiking and stopping at gas station,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135211 - seems slightly uncomfortable, with minimal flow. ref SDS 0 GD7K  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135212 - has not recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135214 -  ..
135215 - Pain medication - Naproxen and ibuprofen increase blood pressure, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135216 - on 181101, above, ref SDS 0 XT6N; and naproxen increases LDL, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135217 - occurred on 181021 1541. ref SDS B2 KU6L  PRP treatment on 181212                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135218 - 1600, ref SDS C5 0001, reduced need for pain medication.  NSAID's like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135219 - naproxen and ibuprofen suppress performance of PRP injections for a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135220 - month or so, but become increasingly needed as benefits of PRP wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135221 - off after 3 months.  Acetaminophen 1000 mg causes intoxication that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135222 - lowers HDL 30%, so paused on 180724 1645. ref SDS A1 EZ7G  Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135223 - caused ulceration LESV reduce to 6 mm, when took 2 250 mg pills with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135224 - very little water after descending from subdome hiking Half Dome on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135225 - 160914, 160101 0700, ref SDS 37 ZL9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135227 -  ..
135228 - Pain pills today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135230 -        181223...none.......................... ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135231 -        181224...Naproxen 250  70200........... ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135232 -        181225...none.......................... ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135233 -        181226...none.......................... ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135234 -        181227...none.......................... ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135235 -        181228...none.......................... ref SDS 0 SXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135236 -        181229...none.......................... ref SDS 0 TRQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135237 -        181230...Tramadol...................... ref SDS 0 LQ9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135240 -  ..
135241 - Pain during hike today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135243 -                                                    Pain Level   Day
135244 -         ..
135245 -        Neck right side spinal column 6".............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135246 -        Hip left.....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135247 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135248 -        Knee left...Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135249 -        Knee right..Supartz 181126...PRP 181212......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135250 -        Hamstring right leg..........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135251 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135252 -        Calf right...................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135253 -        Tailor's Bunion left foot....................   4         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135254 -        Tailor's Bunion right foot...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135255 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135256 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135257 -        Metatarsalgia left foot...PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135258 -        Metatarsalgia right foot..PRP 181212.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135259 -        Callus big toe left foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135260 -        Callus big toe right foot....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135261 -        Blister below big toe left foot..............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135262 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135263 -        Burning sensation right foot.................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135264 -        Peripheral neruopathy right foot.............   0          2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135266 -  ..
135267 - Peripheral neuropathy right foot began recurring on 180708, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135268 - ref SDS 0 YPTV, and citing prior severe episodes after increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135269 - Rosuvastatin from 10 to 20 mg on 120514 1300. ref SDS 14 6S9I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135270 - Today, slight peripheral neuropathy right foot at mile 1 for about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135271 - .25 miles...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135273 -        181223...no ph...no statins.... on 181222, ref SDS 0 RF6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135274 -        181224..... ph......statins.... on 181223, ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135275 -        181225...no ph...no statins.... on 181224, ref SDS 0 KG7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135276 -        181226...no ph......statins.... on 181225, ref SDS 0 YR9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135277 -        181227...no ph...no.statins.... on 181226, ref SDS 0 RF5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135278 -        181228...no ph......statins.... on 181227, ref SDS 0 D65N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135279 -        181229..... ph...no.statins.... on 181228, ref SDS 0 SXWQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135280 -        181230..... ph......statins.... on 181229, ref SDS 0 TRQQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135282 -  ..
135283 - Legs and arms 6 hours after 15 mile hike, feeling anxious like oxygen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135284 - nutrients depleted, so took Tramadol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135286 -        181223...Tramadol  50    750........ ref SDS 0 RTTV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135287 -        181230...Tramadol  50    800........ ref SDS 0 LQ9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135289 -  ..
135290 - Bondi 6 Wide shoes color Alloy / Steel Gray and with Satallite Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135291 - orthotic inserts.  This 3rd pair received on 181214 1614. ref SDS C6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135292 - SM4M  These shoes now seem to have cushioning like 1st pair reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135293 - on 181209, above. ref SDS 0 YTTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135295 -  ..
135296 - Socks - continue 1 pair smartwool socks received on 180530 0726.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135297 - ref SDS 92 9O6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135299 -  ..
135300 - Toe caps recommended by Mark Wachter at On-the-Run - not used on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135301 - foot little toe and ring toe, because came loose during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135302 - 180819, per above. ref SDS 0 VRSS  Using amonnium lactate 12% lotion.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135304 -  ..
135305 - Orthotic inserts - Satallite Elite orthotic inserts purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135306 - On-the-Run shoe store; did not use set with groove cut in the bottom,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135307 - reported on 171229 1010. ref SDS 76 JI6K  Plantar plate tear on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135308 - foot pain level 0 entire route.  Metatarsalgia pain level 0 both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135309 - entire 21 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135311 -  ..
135312 - Left foot middle 3 toes - feels like electrical shocks each step - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135313 - not occur today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135315 -  ..
135316 - Left foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135317 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135318 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135319 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135320 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135321 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135323 -  ..
135324 - Right foot metatarsalgia - pain level 0 entire hike, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135325 - getting 6th PRP treatment on 181212 1600, ref SDS C5 0001, and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135326 - Smartwool socks, beginning on 180530 0726, ref SDS 92 9O6X, and with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135327 - Hoka Bondi 6 shoes with good cushioning, beginning on 181127.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135328 - Ammonium Lactate 12% lotion seems to swell balls of feet to further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135329 - protect feet from pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135331 -  ..
135332 - Calluses both feet big toes - after Doctor Tang cut callus down during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135333 - meeting in Podiatry at VAMCSF on 180525 1230, ref SDS 91 AZ7F, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135334 - after applying Ammonium Lactate 12% the past few days, as prescribed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135335 - by Doctor Tang during the meeting in Podiatry at VAMCSF on 180525                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135336 - 1230, ref SDS 91 268M.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135338 -        Used Egg Ped tool to shave and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135339 -        emory pad to sand calluses to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135340 -        near normal skin............... 180529, ref SDS 0 SPRT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135341 -        again.......................... 180614, ref SDS 0 UUWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135342 -        again.......................... 180707, ref SDS 0 XXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135343 -        again.......................... 180715, ref SDS 0 PQSV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135344 -        again.......................... 180721, ref SDS 0 PXSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135345 -        again.......................... 180727, ref SDS 0 QXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135346 -        again.......................... 180804, ref SDS 0 SSYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135347 -        again.......................... 180808, ref SDS 0 TRRP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135348 -        again.......................... 180817, ref SDS 0 UYRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135349 -        again.......................... 180820, ref SDS 0 VTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135350 -        again.......................... 180916, ref SDS 0 QTVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135351 -        again.......................... 180923, ref SDS 0 RWRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135352 -        again.......................... 181005, ref SDS 0 TYPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135353 -        again.......................... 181006, ref SDS 0 UQYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135354 -        again.......................... 181007, ref SDS 0 UTRR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135355 -        again.......................... 181015, ref SDS 0 WRXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135356 -        again.......................... 181025, ref SDS 0 YVPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135357 -        again.......................... 181102, ref SDS 0 QRTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135358 -        again.......................... 181106, ref SDS 0 RRXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135359 -        again.......................... 181110, ref SDS 0 SRYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135360 -        again.......................... 181117, ref SDS 0 TXYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135361 -        again.......................... 181125, ref SDS 0 VUV8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135362 -        again.......................... 181207, ref SDS 0 XYSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135363 -        again.......................... 181211, ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135364 -        again.......................... 181222, ref SDS 0 RSSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135365 -        again today.................... 181226, ref SDS 0 SUYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135367 -  ..
135368 - Today, nothing hurt wearing Hoka Bondi 6 Wide shoes with Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135369 - socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135371 -  ..
135372 - Blister right foot below big toe, reported on 180619, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135373 - ref SDS 0 PE6F  Relied on smartwool socks, and Ammonium Lacatate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135374 - lotion applied on 181120.  During hike blister pain level 0 on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135375 - foot below big toe entire hike wearing Hoka Bondi 6 Wide shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135376 - Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135378 -  ..
135379 - Left knee - pain level 0 entire hike, after Supartz injection at VA on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135380 - 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135381 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135383 -  ..
135384 - Right knee - pain level 0 entire hike, after Supartz injection at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135385 - on 181210 1030, ref SDS C4 CJ98, and after PRP injection treatment on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135386 - 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135388 -  ..
135389 - Hip left, pain level 0 entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135391 -  ..
135392 - Tailor's Bunion left foot - did not apply new custom cushion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135393 - protection pad, created on 180605, per above. ref SDS 0 TQVR  Relied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135394 - on PRP treatment on 180620, per above, ref SDS 0 VTQT; this was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135395 - repeated with recent PRP treatment on 181212 1600. ref SDS C5 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135396 - Injury protected wearing smartwool socks, but without Ammonium Lactate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135397 - 12% lotion applied on 181223, per above. ref SDS 0 RTTV  New Bondi 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135398 - Wide shoes received on 181127 1805, ref SDS C1 SM4M, protect feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135399 - Felt Tailor's Bunion left foot pain level 4 for about 1 mile.  In                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135400 - evening after hike, treated left foot with Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135401 - lotion twice.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135403 -            [On 190101 0730 case study reporting on 181231 applied RENU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135404 -            28 medication to Tailor's Bunion both feet, ref SDS C7 PP5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135405 -            Hike next day on 190101, there was pain level 0 for both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135406 -            injuries. ref SDS C7 TT3K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135408 -  ..
135409 - Concord 15 mile route #3, reported on 150830, in case study on 140101.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135410 - ref SDS 22 HG3F  Did not hike extra 1-mile loop at the end.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135411 - energy good and good rebound energy hiking fast wearing Bondi 6 wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135412 - shoes color grey and with orthotic inserts Lynn Flex heel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135413 - Satallite Elite, per above. ref SDS 0 YTTY  Time to 1.25 miles 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135414 - minutes.  Maintained fast pace on Clayton hiking concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135415 - Turned corner onto Ygnacio Valley Road at mile 3.25.  Hiked to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135416 - 3.5, then switched to asphault roadway.  About mile 3.8 crossed from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135417 - North to South Side to hike against Eastbound traffic flow.  Hiking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135418 - fast pace felt mild peripehral neruopathy right foot.  Time mile 4.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135419 - 64 minutes.  Continuing on Ygnacio Valley Road going West.  At mile 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135420 - pain level 0, so turned corner onto Crystal Ranch Road and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135421 - 4-mile loop.  Good pace all the way going 1 mile uphill.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135422 - at summit on flat ground.  Normal pace going down steep hill.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135423 - corner onto Rolling Woods Way and increased pace hiking .3 miles up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135424 - steeper hill.  Slowed pace going downhill to Pine Hollow.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135425 - corner onto Pine Hollow and increased pace hiking 1 mile back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135426 - Ygnacio Valley Road.  Turned corner and hiked fast pace going West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135427 - Ygnacio Valley Road about 1 mile back to Crystal Ranch Road.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135428 - okay, so turned corner and hiked another 4-mile loop.  Near end of 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135429 - 4-mile loop on Pine Hollow was stopped by a couple walking the other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135430 - way; seemed to be mother about mid-40s and son in late teens.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135431 - mother asked how far I hike.  Said today going for 20+.  She asked the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135432 - minimum hike?  Said 11 miles.  Considered doing a 3rd loop, or hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135433 - over the summit and going for 20+ miles.  After 2nd 4-mile loop, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135434 - foot Tailor's Bunion hurting, despite treatment last night with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135435 - Ammonium Lactate 12% lotion, so decided decided not to do another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135436 - 4-mile loop.  Continued uphill on Ygnacio Valley Road.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135437 - at Cowell and hiked home for 16 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135439 -  ..
135440 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135441 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135442 - Dinner - macaroni cheese tuna celery asparagus squash mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135444 -  ..
135445 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135448 -            [On 190101 0730 follow up exercise, diet, vitals, etc.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135449 -            including the record for 181231. ref SDS C7 GG4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135462 -  ..
135463 - Medication and blood pressure study correlating contraction LESV on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135464 - 170331 1400. ref SDS 55 PE7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135466 -              F:\05\00003\SM\CC\CHMG\FNGC\CJGK\achalasia_meds_lesv.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135472 -  ..
135473 - Hiking Summary Past 7 Years Month to Month                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135474 - 
135475 - Follow up ref SDS 37 XY4M, ref SDS 22 XY4M.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135477 -                                            x                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135478 -               <------ 2 0 1 9 -------->    <------ 2 0 1 8 -------->    <------ 2 0 1 7 -------->    <------ 2 0 1 6 -------->    <------ 2 0 1 5 -------->    <------ 2 0 1 4 -------->      <------ 2 0 1 3 -------->    <-------- 2 0 1 2 ----------->    <-------- 2 0 1 1 ----------->    <-------- 2 0 1 0 ----------->
135479 -        Month  Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile    Miles   Minutes  Min/Mile      Miles   Minutes  Min/Mile    Miles     Minutes     Min/Mile    Miles     Minutes     Min/Mile    Miles     Minutes     Min/Mile                                                                                                                                                                                                                                                                                     
135480 -         Jan     117     1866    15.95        117     1866    15.95         20      331    16.55        229     3612    15.78        242     3687    15.24        347     5424    15.63          168     2561    15.24        78       1235        15.83        18        294        16.33                                                                                                                                                                                                                                                                                                                         
135481 -         Feb                                  287     4541    15.82        122     2082    17.07         83     1337    16.11        256     3941    15.39        237     3714    15.67          111     1776    16.00        12        174        14.50        30        470        15.67                                                                                                                                                                                                                                                                                                                         
135482 -         Mar                                  221     3397    15.37        115     1904    16.56         48      813    16.94        189     2941    15.56        207     3265    15.77           78     1238    15.87        42        707        16.83       141       2369        16.80                                                                                                                                                                                                                                                                                                                         
135483 -         Apr                                  278     4255    15.31         27      430    15.93        103     1828    17.75        240     3698    15.41        302     4837    16.02          129     2101    16.29        29        547        18.86        79       1328        16.81                                                                                                                                                                                                                                                                                                                         
135484 -         May                                  328     5227    15.94        165     2678    16.23        129     2205    17.09        230     3485    15.15        328     5253    16.02          313     5063    16.18       130       2147        16.52        53        835        15.75                                                                                                                                                                                                                                                                                                                         
135485 -         Jun                                  267     4190    15.69         72     1220    16.94        218     3628    16.64        233     3571    15.33        167     2697    16.15           94     1563    16.63        99       1702        17.19       119       2015        16.93                                                                                                                                                                                                                                                                                                                         
135486 -         Jul                                  311     4935    15.87        106     1827    17.24        228     3909    17.14        230     3559    15.47         77     1274    16.55          189     3077    16.28        42        694        16.52        60       1037        17.28                                                                                                                                                                                                                                                                                                                         
135487 -         Aug                                  343     5358    15.62        169     2915    17.25        183     3262    17.83        142     2241    15.78        108     1942    17.98          299     4881    16.32        87       1550        17.82       166       2834        17.07                                                                                                                                                                                                                                                                                                                         
135488 -         Sep                                  273     4548    16.66         89     1460    16.40        276     4854    17.59        212     3658    17.25        136     2855    20.99          221     4005    18.12       101       1639        16.23       111       2029        18.28                                                                                                                                                                                                                                                                                                                         
135489 -         Oct                                  364     5569    15.30        248     3858    16.01        269     4298    15.98        323     5337    16.52        215     3525    16.40          373     5826    15.62       247       3961        16.04       105       1799        17.13        54        884        16.37                                                                                                                                                                                                                                                                                       
135490 -         Nov                                  402     6206    15.44        248     3969    16.00         85     1397    16.44        152     2461    16.19        314     4839    15.41          173     2889    16.70       332       5203        15.67        57        945        16.58        52        878        16.88                                                                                                                                                                                                                                                                                       
135491 -         Dec                                  232     3550    15.30        136     2157    15.86         60     1012    16.87         72     1158    15.86        284     4575    16.11          231     3529    15.28       210       3227        15.37       221       3659        16.56         0          0
135492 -         ..
135493 -        Totals  3423     53642   15.67       3423     53642   15.67       1517    24954    16.45       1911    32062    16.78       2543    40089    15.76       2733    44367    16.23         2385    38495    16.14      1409      22786        16.17      1160      19614        16.91       106       1762        16.62                                                                                                                                                                                                                                                                                       
135495 -  ..
135496 - Total from 101009 to 181202 = 16,958 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135499 -         ..
135500 -        Lipid History                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135501 -        
135502 -        Follow up ref SDS 37 9C4G, ref SDS 22 9C4G.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135504 -                                                                         Small   LDL   LP-IR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135505 -        Collection DT        CHOL    TRIGL   HDL   LDL-C   LDL-P  HDL-P  LDL-P  SIZE   SCORE  LDL-D                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135506 -        11/12/2018 17:22     222       89    83     121 ........................................... ref SDS B5 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135507 -        10/29/2018 14:51     197       84    73     107 ........................................... ref SDS B4 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135508 -        09/13/2018 13:54     189       84    68     105 ........................................... ref SDS B0 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135509 -        08/24/2018 11:45     196       75    67     113 ........................................... ref SDS A7 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135510 -        08/02/2018 05:44     195      104    66     109 ........................................... ref SDS A4 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135511 -        07/13/2018 08:30     182       67    55     114 ........................................... ref SDS 99 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135512 -        05/14/2018 15:53     196       82    67     112 ........................................... ref SDS 90 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135513 -        05/04/2018 14:07     219      103    64     134 ........................................... ref SDS 89 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135514 -        04/10/2018 14:50     221       99    67     134 ...1603....40.9...847...20.5......26....... ref SDS 87 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135515 -        02/22/2018 15:26     181       81    67      97 ........................................... ref SDS 84 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135516 -        11/24/2017 15:08     191      103    61     109 ...1090....37.9...376...20.9....< 25....... ref SDS 69 U45J
135517 -        10/11/2017 07:13     179       81    55     108 ........................................... ref SDS 67 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135518 -        10/01/2017 12:51     211      158    57     122 ...1272....35.8...626...20.4....< 37....... ref SDS 66 U45J
135519 -        04/12/2017 07:00     184       67    54     117 ........................................... ref SDS 56 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135520 -        02/16/2017 16:39     242 H    103    72     149 H .1678....42.5...943...20.6....< 25....... ref SDS 54 U45J
135521 -        02/06/2017 10:49     196       72    61     121 ........................................... ref SDS 52 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135522 -        10/11/2016 11:14     231       66    62     156 ........................................... ref SDS 48 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135523 -        10/09/2016 13:37     245       98    65     160 ...1619....40.4...543...21.2....< 25....... ref SDS 47 U45J
135524 -        07/17/2016 10:55     229       70    67     148 ...1346....39.4...436...21.2....< 25....... ref SDS 43 U45J
135525 -        06/18/2016 00:54     230       66    63     153 ........................................... ref SDS 42 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135526 -        05/03/2016 11:45     196       55    57     128 ........................................... ref SDS 41 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135527 -        04/01/2016 14:43     197       88    56     123 ...1379....33.9...636...20.6......27....... ref SDS 40 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135528 -        02/02/2016 13:34     177       61    69      96 ........................................... ref SDS 39 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135529 -        01/31/2016 17:14     183       61    73      98 ....699....41.9...176...20.9....< 25....... ref SDS 38 U45J
135530 -        10/27/2015 13:49     315 H     59    60     243 H ......................................... ref SDS 36 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135531 -        07/28/2015 11:54     153       54    65      78 ........................................... ref SDS 35 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135532 -        06/02/2015 13:00     199 H     77    69     115 H .1158....42.3...417...20.9....< 25....... ref SDS 34 U45J
135533 -        05/12/2015 13:49     299 H    103    58     220 H ......................................... ref SDS 33 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135534 -        02/09/2015 11:21     161       50    70      81   ......................................... ref SDS 32 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135535 -        02/08/2015 14:52     162       66    66      83   ..709....39.5...153...21.0....< 25....... ref SDS 31 U45J
135536 -        12/01/2014 08:40     157       73    63      79   ..656....38.9...310...20.4....< 25....... ref SDS 30 U45J
135537 -        11/06/2014 07:14     137       85    53      67   ..997....35.2...387...20.8......30....... ref SDS 29 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135538 -        10/21/2014 11:48     159       65    57      90   ......................................... ref SDS 28 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135539 -        08/14/2014 15:28     161       72    55      92   ......................................... ref SDS 27 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135540 -        05/14/2014 10:16     164       58    66      87   .................................... 93.. ref SDS 26 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135541 -        05/08/2014 11:49     162       59    67      83   ..851....38.1...<90...21.2....< 25  ..... ref SDS 25 U45J
135542 -        02/03/2014 12:28     160       47    58      93   ......................................... ref SDS 24 U45J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135543 -        02/01/2014 12:31     156       68    61      81   ..861....31.4...<90...21.3....< 25....... ref SDS 23 HW5M
135544 -        10/15/2013 08:25     321 H    109    50     249 H ......................................... ref SDS 20 BE6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135545 -        05/29/2013 08:18     307 H     85    50     240 H ......................................... ref SDS 19 BE6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135546 -        02/28/2013 08:39     310 H     73    47     248 H ......................................... ref SDS 18 BE6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135547 -        11/30/2012 10:01     173       53    57     105   ......................................... ref SDS 17 BE6O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135548 -        08/31/2012 15:25     176       94    47     110   ......................................... ref SDS 15 U89N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135549 -        05/09/2012 11:24     158       76    49      94   ......................................... ref SDS 13 U89N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135550 -        02/09/2012 11:18     285       82    41     228 H ......................................... ref SDS 12 2A4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135551 -        11/17/2011 14:27     260       84    43     200 H ......................................... ref SDS 10 2A4G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135552 -        07/27/2011 12:58     163       81    45     102   ......................................... ref SDS 9 E19L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135553 -        12/07/2010 09:17     151       41    47      96   ......................................... ref SDS 8 E19L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135554 -        07/21/2010 08:54     261 H     87    35 L   209 H ......................................... ref SDS 5 E19L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135555 -        06/10/2010 10:33     217 H     83    36 L   164 H ......................................... ref SDS 4 QV4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135556 -        12/14/2009 11:10     241 H    136    44     170 H ......................................... 100928 0706, ref SDS 6 VW6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135557 -        08/13/2009 15:09     233 H    118    30 L   179 H ......................................... 100610 1046, ref SDS 4 U45G                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135558 -        06/16/2006 10:59     238 H     68    32 L   192 H ......................................... 091002 0900, ref SDS 2 LJ5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
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1356 -